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NPI Code Detail

MEDICARE: SUSAN PURNELL

MEDICARE:   SUSAN  PURNELL
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 PathologistSL000282LPA

General Provider Information

NPI Number : 1568862563
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN PURNELL
Provider Business Mailing Address
First Line : 55 TOPAZ DR
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-8660
Country : US
Telephone Number : 717-377-5583
Fax Number :
Provider Business Practice Location Address
First Line : 2316 OCRACOKE ISLAND CT
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-7422
Country : US
Telephone Number : 717-377-5583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 08/26/2014

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Directions to “ SUSAN PURNELL ” Practice Location

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