Organization
CLEVELAND STATE UNIVERSITY SPEECH AND HEARING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BAZYK M.S. (CHAIRPERSON, HEALTH SCIENCES DEPT.)
(216) 687-2379
Entity
Organization
Contact information
Practice address
2121 EUCLID AVE # MC-429, CLEVELAND, OH 44115-2214
(216) 687-3804
(216) 687-6993
Mailing address
2121 EUCLID AVE # MC-429, CLEVELAND, OH 44115-2214
(216) 687-3804
(216) 687-6993
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408286
—
OH
Enumeration date
05/01/2007
Last updated
08/22/2020
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