Mariam Ricchiuto, M.A. CCC-SLP
Speech-Language Pathologist, in Willoughby, OH. Individual provider (NPI-1).
NPI number1427459106
StatusActive
Last updated in NPPESMar 22, 2018
Details
- NPI
- 1427459106
- Entity type
- Individual (NPI-1)
- Name
- Mariam Ricchiuto
- Credential
- M.A. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2014
- Last updated
- Mar 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 11370 | OH | Yes |
Practice location
37047 Ridge RdWilloughby, OH 44094-4130
Phone 440-946-5000
Mailing address
12040 Lake AveApt. 103
Lakewood, OH 44107-1851
Phone 440-465-9370
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