Provider Demographics
NPI:1982845020
Name:SPEECH PATHOLOGY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:SPEECH PATHOLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:SLOAN-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC
Authorized Official - Phone:216-765-0115
Mailing Address - Street 1:3690 ORANGE PL
Mailing Address - Street 2:SUITE #369
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4464
Mailing Address - Country:US
Mailing Address - Phone:216-765-0115
Mailing Address - Fax:216-464-1859
Practice Address - Street 1:3690 ORANGE PL
Practice Address - Street 2:SUITE #369
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4464
Practice Address - Country:US
Practice Address - Phone:216-765-0115
Practice Address - Fax:216-464-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center