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NPI Code Detail

MEDICARE: MRS. DIANE JOYCE JANDRON MA, CCC-SLP

MEDICARE: MRS. DIANE JOYCE JANDRON MA, 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 Pathologist7101000185MI

General Provider Information

NPI Number : 1316895717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE JOYCE JANDRON MA, CCC-SLP
Provider Business Mailing Address
First Line : 1401 PRESQUE ISLE AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2818
Country : US
Telephone Number : 906-227-2085
Fax Number : 906-227-2178
Provider Business Practice Location Address
First Line : 1401 PRESQUE ISLE AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2818
Country : US
Telephone Number : 906-227-2085
Fax Number : 906-227-2178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ MRS. DIANE JOYCE JANDRON MA, CCC-SLP” Practice Location

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