MEDICARE: RUTH C SCHWARTZ

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
1	235Z00000X	Speech-Language Pathologist	2016190	OH

General Provider Information

NPI Number	:	1629439492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH C SCHWARTZ

Provider Business Mailing Address
First Line	:	3631 SHANNON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118
Country	:	US
Telephone Number	:	216-338-2348
Fax Number	:

Provider Business Practice Location Address
First Line	:	3631 SHANNON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-1928
Country	:	US
Telephone Number	:	216-338-2348
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2016
Last Update Date	:	03/08/2016

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Directions to “ RUTH C SCHWARTZ ” Practice Location

Language	Start Address	Practice Location

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