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NPI Code Detail

MEDICARE: DR. CATHLEEN THOMAS DHSC,MACCC-SLP

MEDICARE: DR. CATHLEEN THOMAS DHSC,MACCC-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 Pathologist30001708NC
2235Z00000XSpeech-Language Pathologist34551CA
3235Z00000XSpeech-Language Pathologist7101007373MI
4235Z00000XSpeech-Language Pathologist22005898AIN
5235Z00000XSpeech-Language PathologistSA17492FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558423319
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHLEEN THOMAS DHSC,MACCC-SLP
Provider Business Mailing Address
First Line : 633 W 5TH ST OFC 2876B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90071-2005
Country : US
Telephone Number : 512-399-0064
Fax Number :
Provider Business Practice Location Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 512-399-0064
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 07/31/2023

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Directions to “ DR. CATHLEEN THOMAS DHSC,MACCC-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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