Individual
KATHRYN L. FAZEKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 FREDERICK ST, NILES, OH 44446-2722
(330) 989-5091
Mailing address
130 ONYX PL, CORTLAND, OH 44410-1904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7530
OH
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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