Marisa Tibaldi
Speech-Language Pathologist, in Willoughby, OH. Individual provider (NPI-1).
NPI number1548684368
StatusActive
Last updated in NPPESFeb 13, 2014
Details
- NPI
- 1548684368
- Entity type
- Individual (NPI-1)
- Name
- Marisa Tibaldi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2014
- Last updated
- Feb 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | OH | Yes |
Practice location
37047 Ridge RdWilloughby, OH 44094-4130
Phone 440-975-3720
Mailing address
37047 Ridge RdWilloughby, OH 44094-4130
Phone 440-975-3720
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