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1164381463

NPI Code Detail

MEDICARE: MR. MICHAEL PEAGLER CCC-SLP

MEDICARE: MR. MICHAEL PEAGLER 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
1	235Z00000X	Speech-Language Pathologist	O1-0012258	DE
2	235Z00000X	Speech-Language Pathologist	SL017659	PA

General Provider Information

NPI Number	:	1164381463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL PEAGLER CCC-SLP

Provider Business Mailing Address
First Line	:	925 CHESTNUT ST FL 6
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4204
Country	:	US
Telephone Number	:	215-955-6760
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 CHESTNUT ST FL 6
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4204
Country	:	US
Telephone Number	:	215-955-6760
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ MR. MICHAEL PEAGLER CCC-SLP” 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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