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NPI Code Detail

MEDICARE: LEE ANNE TACHER ST

MEDICARE: LEE ANNE TACHER ST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist24298CA

General Provider Information

NPI Number : 1003398132
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE ANNE TACHER ST
Provider Business Mailing Address
First Line : 1610 ARDEN WAY STE 195
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4035
Country : US
Telephone Number : 888-556-5096
Fax Number : 916-649-1705
Provider Business Practice Location Address
First Line : 1610 ARDEN WAY STE 195
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4035
Country : US
Telephone Number : 888-556-5096
Fax Number : 916-649-1705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2018
Last Update Date : 09/05/2018

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Directions to “ LEE ANNE TACHER ST” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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