Individual
MRS. EMILY M FULLER-CAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
9685 CHILLICOTHE RD, KIRTLAND, OH 44094-8503
(440) 256-8100
Mailing address
2589 OVERLOOK RD APT 8, CLEVELAND HEIGHTS, OH 44106-2463
(330) 719-7998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12345
OH
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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