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Organization

CLEVELAND HEARING AND SPEECH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNELL C. VICK PHD (EXECUTIVE DIRECTOR)
(216) 231-8787
Entity
Organization

Contact information

Practice address
11635 EUCLID AVE, CLEVELAND, OH 44106-4319
(216) 231-8787
(216) 231-7141
Mailing address
11635 EUCLID AVE, CLEVELAND, OH 44106-4319
(216) 231-8787
(216) 231-7141

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
A-00915
OH
235Z00000X
Speech-Language Pathologist
Primary
SP-5730
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0325500
OH
Enumeration date
11/01/2006
Last updated
06/05/2020
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