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Individual

ERIKA CLOONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CF-SLP

Contact information

Practice address
3817 COLONEL GLENN HWY, BEAVERCREEK, OH 45324-2031
(937) 427-9200
Mailing address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(513) 755-6600

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.2017004-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP12590
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0406425
OH
01
AB7360731
MEDICARE PIN
OH
Enumeration date
09/01/2016
Last updated
07/17/2020
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