Geraldine Asbury
Individual provider Active NPI Speech-Language Pathologist · Wickliffe, OH
NPI 1134533920 · NPPES record last updated Jun 19, 2014
Key facts
- NPI
- 1134533920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3630 (OH)
- Practice address
- 28700 Euclid Ave
Wickliffe, OH 44092-2527 - Phone
- (216) 965-6106
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3630 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3630 | OH | Yes |
Addresses
Primary practice location
28700 Euclid Ave
Wickliffe, OH 44092-2527
Mailing address
4227 W 212TH St
Fairview Park, OH 44126-1105
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All providers in Wickliffe, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.