MEDICARE: CINTHIA MADEJ

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-3021	OH

General Provider Information

NPI Number	:	1861817223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINTHIA MADEJ

Provider Business Mailing Address
First Line	:	38720 SALTWELL RD
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-8303
Country	:	US
Telephone Number	:	330-424-9591
Fax Number	:	330-424-9481

Provider Business Practice Location Address
First Line	:	38720 SALTWELL RD
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-8303
Country	:	US
Telephone Number	:	330-424-9591
Fax Number	:	330-424-9481

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

Provider Enumeration Date	:	02/21/2014
Last Update Date	:	08/04/2020

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Directions to “ CINTHIA MADEJ ” Practice Location

Language	Start Address	Practice Location

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