# EASTER SEALS NORTHERN OHIO

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

## Provider details

- **NPI number:** 1871552505
- **Authorized official:** MS. SHEILA M DUNN (PRESIDENT / CEO)
- **Authorized official phone:** (440) 838-0990

## Contact information

- **Practice address:** 1929A E ROYALTON RD, BROADVIEW HTS, OH 44147-2809
- **Practice address phone:** (440) 838-0990
- **Practice address fax:** (440) 838-8440
- **Mailing address:** 1929A E ROYALTON RD, BROADVIEW HTS, OH 44147-2809
- **Mailing address phone:** (440) 838-0990
- **Mailing address fax:** (440) 838-8440

## Taxonomy

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

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 07/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0849916 | — | OH |
| 01 | — | 46-00039 | UNITED HEALTHCARE INS. CO | OH |
| 01 | — | 729035 | BUCKEYE COMMUNITY HEALTH | OH |
