MEDICARE: COURTNEY PEPLIN

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	SP.11091	OH

General Provider Information

NPI Number	:	1790492429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY PEPLIN

Provider Business Mailing Address
First Line	:	5247 WILSON MILLS RD # 126
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44143-3016
Country	:	US
Telephone Number	:	216-223-8761
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 WARRENSVILLE CENTER RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-2632
Country	:	US
Telephone Number	:	216-223-8761
Fax Number	:

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

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	06/26/2025

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Directions to “ COURTNEY PEPLIN ” Practice Location

Language	Start Address	Practice Location

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