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NPI Code Detail

MEDICARE: CARLEE JEAN ANDRESS

MEDICARE: CARLEE JEAN ANDRESS
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 Pathologist

General Provider Information

NPI Number : 1629590112
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLEE JEAN ANDRESS
Provider Business Mailing Address
First Line : 24 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24 S WEBER ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1929
Country : US
Telephone Number : 719-785-3742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2017
Last Update Date : 07/17/2017

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Directions to “ CARLEE JEAN ANDRESS ” 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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