Individual
JUDITH L PTASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
20800 WESTGATE MALL STE 510, FAIRVIEW PARK, OH 44126-1318
(440) 895-1309
(440) 895-1309
Mailing address
20800 WESTGATE MALL STE 510, FAIRVIEW PARK, OH 44126-1318
(440) 895-1309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.4391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341929047
TAX IDENTIFICATION NUMBER
OH
Enumeration date
10/11/2006
Last updated
02/14/2019
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