Justin Edward Bacon

NPI #1144101452 in Elyria, Ohio

Provider Information

NPI Number: 1144101452
Entity Type: Individual
Name: Justin Edward Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Sep 11, 2025
Last Updated: Sep 11, 2025

Practice Location

Address: 42331 GRISWOLD RD
City: Elyria
State: Ohio
ZIP Code: 44035-2121
Phone: (440) 284-8250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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