MEDICARE: EMILY CONNER

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

General Provider Information

NPI Number	:	1679305783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CONNER

Provider Business Mailing Address
First Line	:	2155 MIRAMAR BLVD # 3301
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3301
Country	:	US
Telephone Number	:	216-371-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	3665 MONTICELLO BLVD # 1581
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-1581
Country	:	US
Telephone Number	:	216-371-6520
Fax Number	:

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

Provider Enumeration Date	:	08/16/2024
Last Update Date	:	08/16/2024

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Directions to “ EMILY CONNER ” Practice Location

Language	Start Address	Practice Location

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