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NPI Code Detail

MEDICARE: HEATHER ANNE PIRINO M.S., CCC-SLP

MEDICARE: HEATHER ANNE PIRINO M.S., CCC-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 Pathologist010012202DE

General Provider Information

NPI Number : 1134908460
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER ANNE PIRINO M.S., CCC-SLP
Provider Business Mailing Address
First Line : 278 SORGHUM MILL RD
Second Line :
City : CAMDEN WYOMING
State : DE
Zip : 19934-1935
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 278 SORGHUM MILL RD
Second Line :
City : CAMDEN WYOMING
State : DE
Zip : 19934-1935
Country : US
Telephone Number : 302-697-3103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2023
Last Update Date : 09/26/2023

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