MEDICARE: MRS. JUNE MARIE FRANKLIN MA CCCSLP

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
1	235Z00000X	Speech-Language Pathologist	3915	NM
2	235Z00000X	Speech-Language Pathologist	4405	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063405520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUNE MARIE FRANKLIN MA CCCSLP

Provider Business Mailing Address
First Line	:	3 TINKER RD
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701
Country	:	US
Telephone Number	:	505-426-2553
Fax Number	:

Provider Business Practice Location Address
First Line	:	179 BRIDGE ST
Second Line	:	WEST LAS VEGAS SCHOOLS
City	:	LAS VEGAS
State	:	NM
Zip	:	87701
Country	:	US
Telephone Number	:	505-426-2781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	07/08/2007

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Directions to “ MRS. JUNE MARIE FRANKLIN MA CCCSLP” Practice Location

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