Doctor Name: | GLORIA STANSBERRY |
NPI Number: | 1164557732 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 3409 |
Business Practice Address: | 4553 Hinckley Industrial Pkwy Cleveland, OH - 441096009 |
Business Phone Number: | 2166353502 |
Business Fax Number: | |
Mailing Address: | 6222 Brookside Dr, CLEVELAND |
State: | OH |
Postal Code: | 441441633 |
Phone Number: | 2163988226 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 01/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3409 |
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 |