Doctor Name: | ANGELA MARIE LILLEY |
NPI Number: | 1134555303 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 10287 |
Business Practice Address: | 815 Crocker Rd Ste 3 Crocker Business Park Westlake, OH - 441451072 |
Business Phone Number: | 4404717190 |
Business Fax Number: | |
Mailing Address: | 50 Buckingham Rd, ROCKY RIVER |
State: | OH |
Postal Code: | 441161619 |
Phone Number: | 5104957982 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10287 |
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 |