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NPI Code Detail

MEDICARE: ROBERTA L THIEMKEY MA,CCC-SLP

MEDICARE: ROBERTA L THIEMKEY 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 Pathologist7264NC

General Provider Information

NPI Number : 1548428956
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTA L THIEMKEY MA,CCC-SLP
Provider Business Mailing Address
First Line : 95 HOLCOMBE COVE RD
Second Line :
City : CANDLER
State : NC
Zip : 28715
Country : US
Telephone Number : 828-665-9849
Fax Number : 828-665-9711
Provider Business Practice Location Address
First Line : 95 HOLCOMBE COVE RD
Second Line :
City : CANDLER
State : NC
Zip : 28715-9450
Country : US
Telephone Number : 828-667-9851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 06/02/2008

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Directions to “ ROBERTA L THIEMKEY MA,CCC-SLP” Practice Location

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