Provider Demographics
NPI:1295101194
Name:PILATI, ELEANOR
Entity type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:
Last Name:PILATI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NORI
Other - Middle Name:M
Other - Last Name:PILATI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:326 NILES VIENNA RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44473-9501
Mailing Address - Country:US
Mailing Address - Phone:330-856-1519
Mailing Address - Fax:
Practice Address - Street 1:309 N RHODES AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-3821
Practice Address - Country:US
Practice Address - Phone:330-989-5093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2249235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist