Provider Demographics
NPI:1629750377
Name:CECHNER, CLARE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:CECHNER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6120 BURRWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-1003
Mailing Address - Country:US
Mailing Address - Phone:419-350-7060
Mailing Address - Fax:
Practice Address - Street 1:6400 MONROE ST STE C
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-1400
Practice Address - Country:US
Practice Address - Phone:419-540-1886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.03831235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist