MEDICARE: MR. THOMAS EUGENE BESOZZI M.A.

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	260	OH

General Provider Information

NPI Number	:	1861626400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS EUGENE BESOZZI M.A.

Provider Business Mailing Address
First Line	:	1235 7TH ST NE
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2115
Country	:	US
Telephone Number	:	330-494-6142
Fax Number	:	330-837-6853

Provider Business Practice Location Address
First Line	:	1235 7TH ST NE
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2115
Country	:	US
Telephone Number	:	330-494-6142
Fax Number	:	330-837-6853

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

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	03/08/2026

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Directions to “ MR. THOMAS EUGENE BESOZZI M.A.” Practice Location

Language	Start Address	Practice Location

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