Provider Demographics
NPI:1245747633
Name:MAJEWSKI, DOMINIQUE (MA)
Entity Type:Individual
Prefix:
First Name:DOMINIQUE
Middle Name:
Last Name:MAJEWSKI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33600 INWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4199
Mailing Address - Country:US
Mailing Address - Phone:400-349-8037
Mailing Address - Fax:
Practice Address - Street 1:33600 INWOOD DR
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-4199
Practice Address - Country:US
Practice Address - Phone:440-349-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-07
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13096235Z00000X
OH2017360235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist