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Organization
EASTER SEALS NORTHERN OHIO
Active
Organization
EASTER SEALS NORTHERN OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA M DUNN (PRESIDENT / CEO)
(440) 838-0990
Entity
Organization
Contact information
Practice address
1929A E ROYALTON RD, BROADVIEW HTS, OH 44147-2809
(440) 838-0990
(440) 838-8440
Mailing address
1929A E ROYALTON RD, BROADVIEW HTS, OH 44147-2809
(440) 838-0990
(440) 838-8440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0849916
—
OH
01
—
46-00039
UNITED HEALTHCARE INS. CO
OH
01
—
729035
BUCKEYE COMMUNITY HEALTH
OH
Enumeration date
03/21/2006
Last updated
07/27/2016
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