Organization
EDU-AT-TECH, LLC
Active
Parent organization
EDU-AT-TECH, LLC
Other names
Educational Assistive Technology, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDU-AT-TECH, LLC
Authorized official
DR. ARIES NICHELLE COBB PHD (DIRECTOR)
(216) 217-0561
Entity
Organization
Contact information
Practice address
7102 WAKEFIELD AVE, CLEVELAND, OH 44102-2972
(216) 217-0561
(216) 848-1202
Mailing address
PO BOX 91666, CLEVELAND, OH 44101-3666
(216) 217-0561
(216) 848-1202
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
SP8177
OH
231HA2400X
Assistive Technology Practitioner Audiologist
MBE-20799
OH
231HA2500X
Assistive Technology Supplier Audiologist
MBE-20799
OH
235500000X
Speech/Language/Hearing Specialist/Technologist
MBE-20799
OH
235Z00000X
Speech-Language Pathologist
Primary
SP8177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059044
—
OH
Enumeration date
02/05/2013
Last updated
02/05/2013
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