Provider Demographics
NPI:1689201899
Name:HONN, MARYPATRICIA /TRICIA (MA, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:MARYPATRICIA /TRICIA
Middle Name:
Last Name:HONN
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 1:6801 MAYFIELD RD STE 150
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2207
Mailing Address - Country:US
Mailing Address - Phone:440-312-8581
Mailing Address - Fax:440-312-6928
Practice Address - Street 1:6801 MAYFIELD RD STE 150
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2207
Practice Address - Country:US
Practice Address - Phone:440-312-8581
Practice Address - Fax:440-312-6928
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04847235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty