Provider Demographics
NPI:1588089239
Name:MCENTEE, ROBERT A (MA, SLP)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:A
Last Name:MCENTEE
Suffix:
Gender:M
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15741 LEIGH ELLEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-1341
Mailing Address - Country:US
Mailing Address - Phone:216-392-0242
Mailing Address - Fax:
Practice Address - Street 1:1111 SUPERIOR AVENUE EAST, SUITE 1800
Practice Address - Street 2:CLEVELAND METROPOLITAN SCHOOL DISTRICT
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114
Practice Address - Country:US
Practice Address - Phone:216-838-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-4416235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist