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NPI Code Detail

MEDICARE: FAIGE B GROSS MS SLP

MEDICARE: FAIGE B GROSS MS 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 PathologistNY

General Provider Information

NPI Number : 1982962296
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAIGE B GROSS MS SLP
Provider Business Mailing Address
First Line : 3570 WARRENSVILLE CENTER RD STE 106
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5226
Country : US
Telephone Number : 216-282-1582
Fax Number :
Provider Business Practice Location Address
First Line : 3570 WARRENSVILLE CENTER RD STE 106
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5226
Country : US
Telephone Number : 216-282-1582
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 11/01/2023

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Directions to “ FAIGE B GROSS MS SLP” Practice Location

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