Provider Demographics
NPI:1811757362
Name:DEEDRA STRANG LLC
Entity type:Organization
Organization Name:DEEDRA STRANG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEEDRA
Authorized Official - Middle Name:SIEGEL
Authorized Official - Last Name:STRANG
Authorized Official - Suffix:
Authorized Official - Credentials:MMSC
Authorized Official - Phone:216-513-1566
Mailing Address - Street 1:3264 CHALFANT RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3432
Mailing Address - Country:US
Mailing Address - Phone:216-513-1566
Mailing Address - Fax:
Practice Address - Street 1:3264 CHALFANT RD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44120-3432
Practice Address - Country:US
Practice Address - Phone:216-513-1566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech