Provider Demographics
NPI:1306976931
Name:KAUFMANN, EVELYN MARIE (M A)
Entity type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:MARIE
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 COMMUNITY COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-3118
Mailing Address - Country:US
Mailing Address - Phone:216-736-4327
Mailing Address - Fax:216-736-3393
Practice Address - Street 1:2421 COMMUNITY COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-3118
Practice Address - Country:US
Practice Address - Phone:216-736-4327
Practice Address - Fax:216-736-3393
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP2051235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist