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Organization
CLEVELAND STATE UNIVERSITY SPEECH AND HEARING CLINIC
Active
Organization
CLEVELAND STATE UNIVERSITY SPEECH AND HEARING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BAZYK M.S. (CHAIRPERSON, HEALTH SCIENCES DEPT.)
(216) 687-2379
Entity
Organization
Contact information
Practice address
2121 EUCLID AVE # MC-429, CLEVELAND, OH 44115-2214
(216) 687-3804
(216) 687-6993
Mailing address
2121 EUCLID AVE # MC-429, CLEVELAND, OH 44115-2214
(216) 687-3804
(216) 687-6993
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408286
—
OH
Enumeration date
05/01/2007
Last updated
08/22/2020
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