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NPI Code Detail

MEDICARE: REBECCA MENTAL SLP

MEDICARE:   REBECCA  MENTAL  SLP
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 Pathologist12441OH
2235Z00000XSpeech-Language PathologistSP.12441OH

General Provider Information

NPI Number : 1588156517
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MENTAL SLP
Provider Business Mailing Address
First Line : 11635 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4319
Country : US
Telephone Number : 216-325-7526
Fax Number : 216-231-7141
Provider Business Practice Location Address
First Line : 11635 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-4319
Country : US
Telephone Number : 216-325-7526
Fax Number : 216-231-7141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2018
Last Update Date : 01/21/2026

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Directions to “ REBECCA MENTAL SLP” Practice Location

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