Individual
LISA MCCOLLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 BUHRER AVE, CLEVELAND, OH 44109-1747
(216) 744-2800
(216) 621-8461
Mailing address
1600 BUHRER AVE, CLEVELAND, OH 44109-1747
(216) 744-2800
(216) 621-8461
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 6636
OH
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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