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Individual

GLORIA STANSBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
4553 HINCKLEY INDUSTRIAL PKWY, CLEVELAND, OH 44109-6009
(216) 635-3502
Mailing address
6222 BROOKSIDE DR, CLEVELAND, OH 44144-1633
(216) 398-8226

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3409
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO9368691
MEDICARE PTAN
OH
Enumeration date
02/22/2007
Last updated
01/06/2010
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