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NPI Code Detail

MEDICARE: NECHAMA FISHBANE SLP-CCC

MEDICARE:   NECHAMA  FISHBANE  SLP-CCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP.15739OH

General Provider Information

NPI Number : 1548000714
Entity Type Code : Individual
Provider Name (Legal Business Name) : NECHAMA FISHBANE SLP-CCC
Provider Business Mailing Address
First Line : 2502 LAURELHURST RD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4612
Country : US
Telephone Number : 347-429-2860
Fax Number :
Provider Business Practice Location Address
First Line : 2502 LAURELHURST RD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4612
Country : US
Telephone Number : 347-429-2860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2024
Last Update Date : 05/27/2024

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Directions to “ NECHAMA FISHBANE SLP-CCC” Practice Location

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