Individual
MRS. ENCIE JONAS SUPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.C.C.
Contact information
Practice address
16220 ALDERSYDE DR, SHAKER HEIGHTS, OH 44120-2510
(216) 283-4141
Mailing address
16220 ALDERSYDE DR, SHAKER HEIGHTS, OH 44120-2510
(216) 283-4141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2797
OH
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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