MEDICARE: MARILEE FINI M.A. 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	SP-4729	OH

General Provider Information

NPI Number	:	1982932323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILEE FINI M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	5911 BLAKLEY DR
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	OH
Zip	:	44143-2027
Country	:	US
Telephone Number	:	440-684-1440
Fax Number	:

Provider Business Practice Location Address
First Line	:	5911 BLAKLEY DR
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	OH
Zip	:	44143-2027
Country	:	US
Telephone Number	:	440-684-1440
Fax Number	:

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

Provider Enumeration Date	:	11/23/2009
Last Update Date	:	11/23/2009

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