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NPI Code Detail

MEDICARE: PATRICIA WASCO SLP

MEDICARE: PATRICIA WASCO SLP
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 Pathologist9035NC

General Provider Information

NPI Number : 1013850221
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA WASCO SLP
Provider Business Mailing Address
First Line : 14603 ASHETON CREEK DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-3450
Country : US
Telephone Number : 240-925-4411
Fax Number :
Provider Business Practice Location Address
First Line : 4421 STUART ANDREW BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-1589
Country : US
Telephone Number : 980-343-6960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ PATRICIA WASCO SLP” Practice Location

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