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Organization

LAKESHORE SPEECH THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACY ANNE BILLER MA CCC SLP (SPEECH-LANGUAGE PATHOLOGIST)
(440) 471-7190
Entity
Organization

Contact information

Practice address
815 CROCKER RD, SUITE #3, WESTLAKE, OH 44145
(440) 471-7190
(480) 287-8108
Mailing address
815 CROCKER ROAD, SUITE #3, WESTLAKE, OH 44145
(440) 471-7190
(480) 287-8108

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4771
OH
235Z00000X
Speech-Language Pathologist
SP5229
OH

Other

Enumeration date
06/16/2009
Last updated
10/11/2013
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