MRS. Encie Jonas Super, C.C.C.
NPI #1013146125 in Shaker Heights, Ohio
Provider Information
- NPI Number
- 1013146125
- Entity Type
- Individual
- Name
- MRS. Encie Jonas Super, C.C.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- C.C.C.
- Enumeration Date
- Jul 9, 2009
- Last Updated
- Jul 9, 2009
Practice Location
- Address
- 16220 ALDERSYDE DR
- City
- Shaker Heights
- State
- Ohio
- ZIP Code
- 44120-2510
- Phone
- (216) 283-4141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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