Provider Demographics
NPI:1336429505
Name:LUPTON, CELIA RUTH (MA)
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:RUTH
Last Name:LUPTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:RUTH
Other - Last Name:GENDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38134 N BROOKS DR
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-5311
Mailing Address - Country:US
Mailing Address - Phone:240-731-8630
Mailing Address - Fax:
Practice Address - Street 1:23825 COMMERCE PARK
Practice Address - Street 2:SUITE B
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5837
Practice Address - Country:US
Practice Address - Phone:216-292-7370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist