# ACACIA SPEECH THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588891238
- **Authorized official:** MS. WANDA KAY MCGINNIS M.A. (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (216) 791-7334

## Contact information

- **Practice address:** 11811 SHAKER BLVD, 305, CLEVELAND, OH 44120-1931
- **Practice address phone:** (216) 791-7334
- **Practice address fax:** (216) 382-4452
- **Mailing address:** 11811 SHAKER BLVD, 305, CLEVELAND, OH 44120-1931
- **Mailing address phone:** (216) 791-7334
- **Mailing address fax:** (216) 382-4452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 3667 | OH | Yes |

## Other

- **Enumeration date:** 06/19/2009
- **Last updated:** 06/19/2009