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NPI Code Detail

MEDICARE: MS. DEBORAH SCHRIER BRAGEN M.A. CCC-SLP

MEDICARE: MS. DEBORAH SCHRIER BRAGEN M.A. 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 Pathologist41YS00021800NJ

General Provider Information

NPI Number : 1215137682
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH SCHRIER BRAGEN M.A. CCC-SLP
Provider Business Mailing Address
First Line : 950 KENNEDY BLVD
Second Line :
City : BAYONNE
State : NJ
Zip : 07002-1926
Country : US
Telephone Number : 201-858-6302
Fax Number :
Provider Business Practice Location Address
First Line : 9020 WALL ST
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-6011
Country : US
Telephone Number : 201-809-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2007
Last Update Date : 07/23/2007

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Directions to “ MS. DEBORAH SCHRIER BRAGEN M.A. CCC-SLP” Practice Location

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