Provider Demographics
NPI:1245360254
Name:MIDDLEBURG EARLY EDUCATION CENTER
Entity type:Organization
Organization Name:MIDDLEBURG EARLY EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:440-888-9922
Mailing Address - Street 1:7171 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4946
Mailing Address - Country:US
Mailing Address - Phone:440-888-9922
Mailing Address - Fax:440-843-6664
Practice Address - Street 1:7171 PEARL RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-4946
Practice Address - Country:US
Practice Address - Phone:440-888-9922
Practice Address - Fax:440-843-6664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4853235Z00000X
OH4413235Z00000X
OH5664235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty