MEDICARE: MS. PAMELA BATSON LERER MA, CCC-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
1	235Z00000X	Speech-Language Pathologist	SP0061	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000317263	OTHER	OH	ANTHEM BC & BS
2	9996643	OTHER	OH	BCMH, STATE OF OH
3	SP133	OTHER	OH	HUMANA

General Provider Information

NPI Number	:	1871578153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA BATSON LERER MA, CCC-SLP

Provider Business Mailing Address
First Line	:	1251 NILLES RD
Second Line	:	# 7 CLOCK TOWER PLACE
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-7206
Country	:	US
Telephone Number	:	513-829-7111
Fax Number	:	513-829-7114

Provider Business Practice Location Address
First Line	:	1251 NILLES RD
Second Line	:	# 7 CLOCK TOWER PLACE
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-7206
Country	:	US
Telephone Number	:	513-829-7111
Fax Number	:	513-829-7114

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

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	07/08/2007

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Directions to “ MS. PAMELA BATSON LERER MA, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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