Provider Demographics
NPI:1932495660
Name:KRISTEN CUFFARI SL
Entity Type:Organization
Organization Name:KRISTEN CUFFARI SL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:THEOFRASTOUS
Authorized Official - Suffix:I
Authorized Official - Credentials:SLP
Authorized Official - Phone:216-292-7370
Mailing Address - Street 1:23825 COMMERCE PARK
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5837
Mailing Address - Country:US
Mailing Address - Phone:216-292-7370
Mailing Address - Fax:216-292-7042
Practice Address - Street 1:23825 COMMERCE PARK
Practice Address - Street 2:SUITE B
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5837
Practice Address - Country:US
Practice Address - Phone:216-292-7370
Practice Address - Fax:216-292-7042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP8967235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty