Doctor Name: | MARY LATOCHE |
NPI Number: | 1114327939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SP.10035 |
Business Practice Address: | 5000 Rockside Rd Ste 500 Independence, OH - 441312178 |
Business Phone Number: | 2164592846 |
Business Fax Number: | 2169014280 |
Mailing Address: | 22200 Sharon Ln, FAIRVIEW PARK |
State: | OH |
Postal Code: | 441262556 |
Phone Number: | 4403825171 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 11/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP.10035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |