Individual
MRS. JILL M DZUROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
435 W LIBERTY ST, MEDINA, OH 44256
(216) 749-6650
(330) 723-8920
Mailing address
5000 ROCKSIDE RD STE 500, INDEPENDENCE, OH 44131-2178
(216) 459-2846
(216) 901-2803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.05242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148018
—
OH
01
—
11536692
CAQH
OH
Enumeration date
02/13/2007
Last updated
11/07/2019
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