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NPI Code Detail

MEDICARE: BRENT MYERS

MEDICARE: BRENT MYERS
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 Pathologist13419OH

General Provider Information

NPI Number : 1811542699
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENT MYERS
Provider Business Mailing Address
First Line : 955 UTE AVE
Second Line :
City : AKRON
State : OH
Zip : 44305-1246
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3550 NORTHFIELD RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5253
Country : US
Telephone Number : 330-612-9335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2019
Last Update Date : 08/07/2019

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Directions to “ BRENT MYERS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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