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NPI Code Detail

MEDICARE: KATHLEEN JONES SLP

MEDICARE:   KATHLEEN  JONES  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 Pathologist019051-1NY

General Provider Information

NPI Number : 1255575478
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN JONES SLP
Provider Business Mailing Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number : 315-218-7466
Provider Business Practice Location Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number : 315-218-7466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2009
Last Update Date : 05/01/2009

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Directions to “ KATHLEEN JONES SLP” Practice Location

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