Provider Demographics
NPI:1861626400
Name:BESOZZI, THOMAS EUGENE (MA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:EUGENE
Last Name:BESOZZI
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 7TH ST NE
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-2115
Mailing Address - Country:US
Mailing Address - Phone:330-494-6142
Mailing Address - Fax:330-837-6853
Practice Address - Street 1:1235 7TH ST NE
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-2115
Practice Address - Country:US
Practice Address - Phone:330-494-6142
Practice Address - Fax:330-837-6853
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH260235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist