MEDICARE: MRS. CATALINA TEODORA MORAR

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	COND.20201284-SP	OH

General Provider Information

NPI Number	:	1710656764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATALINA TEODORA MORAR

Provider Business Mailing Address
First Line	:	810 NOLA DR
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-4384
Country	:	US
Telephone Number	:	216-906-1835
Fax Number	:

Provider Business Practice Location Address
First Line	:	1906 E 40TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-3557
Country	:	US
Telephone Number	:	216-505-0933
Fax Number	:

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

Provider Enumeration Date	:	09/12/2021
Last Update Date	:	09/12/2021

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Directions to “ MRS. CATALINA TEODORA MORAR ” Practice Location

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