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EDU-AT-TECH LLC NPI 1104165521


NPI Information

NPI: 1104165521
Provider Name: EDU-AT-TECH, LLC

Doing Business As: EDUCATIONAL ASSISTIVE TECHNOLOGY, LLC

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
7102 WAKEFIELD AVE
CLEVELAND, OH
ZIP 44102
Phone: (216) 217-0561
Get Directions

EDU-AT-TECH, LLC is a speech language pathologist in Cleveland, OH. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. EDU-AT-TECH, LLC NPI is 1104165521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Educational Assistive Technology, Llc.

The provider's business location address is:

7102 WAKEFIELD AVE
CLEVELAND, OH
ZIP 44102-972
Phone: (216) 217-0561
Fax: (216) 848-1202

The provider's authorized official is Aries Nichelle Cobb .
The authorized official title is Director and has the following contact phone number (216) 217-0561.

The enumeration date for this NPI number is 2/5/2013 and was last updated on 2/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231H00000XAudiologistSP8177OHIONo
2231HA2400XAudiologistAssistive Technology PractitionerMBE-20799OHIONo
3231HA2500XAudiologistAssistive Technology SupplierMBE-20799OHIONo
4235500000XSpecialist/TechnologistMBE-20799OHIONo
5235Z00000XSpeech-Language PathologistSP8177OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10059044MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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