Individual provider · Type 1 NPI

Justin Edward Bacon

Speech-Language Pathologist · Elyria, OH

NPI number 1144101452 Active

Practice location

42331 Griswold Rd
Elyria, OH 44035-2121

Mailing address

3776 W 137th St
Cleveland, OH 44111-4441

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1144101452

Justin Edward Bacon's National Provider Identifier is 1144101452, issued on Sep 11, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Elyria, OH. The record was last updated on Sep 11, 2025.