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NPI Code Detail

MEDICARE: MISS TONI DEANGELO MA, CCC-SLP

MEDICARE:  MISS TONI  DEANGELO  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
1235Z00000XSpeech-Language PathologistSP.8882OH

General Provider Information

NPI Number : 1891020343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TONI DEANGELO MA, CCC-SLP
Provider Business Mailing Address
First Line : 609 PARKHILL DR
Second Line : APT 1
City : FAIRLAWN
State : OH
Zip : 44333-9111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5200 MARYMOUNT VILLAGE DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-2973
Country : US
Telephone Number : 216-332-1691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2009
Last Update Date : 10/15/2009

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Directions to “ MISS TONI DEANGELO MA, CCC-SLP” Practice Location

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