Individual
MRS. ELLEN RAE MCCAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
1215 W CLIFTON BLVD, LAKEWOOD, OH 44107-1008
(216) 227-5826
Mailing address
3663 W 155TH ST, CLEVELAND, OH 44111-3007
(216) 544-2829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4183
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34-6001631
—
OH
Enumeration date
02/12/2014
Last updated
02/12/2014
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