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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN FONZI SLP

MEDICARE: MRS. ELIZABETH ANN FONZI 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 Pathologist12064036OH

General Provider Information

NPI Number : 1770767626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN FONZI SLP
Provider Business Mailing Address
First Line : 2 VILLAGE SQ STE 210
Second Line :
City : BALTIMORE
State : MD
Zip : 21210-1624
Country : US
Telephone Number : 614-844-5433
Fax Number : 614-987-8643
Provider Business Practice Location Address
First Line : 6660 DOUBLETREE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-1128
Country : US
Telephone Number : 614-844-5433
Fax Number : 614-987-8643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2007
Last Update Date : 02/13/2024

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Directions to “ MRS. ELIZABETH ANN FONZI SLP” Practice Location

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