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NPI Code Detail

MEDICARE: LISA VALE GRANT-RAUCCI M.S., CCC-SLP

MEDICARE: LISA VALE GRANT-RAUCCI M.S., 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 PathologistSP6788OH

General Provider Information

NPI Number : 1679975684
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA VALE GRANT-RAUCCI M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2011 TIMBER LN
Second Line :
City : DAYTON
State : OH
Zip : 45414-4528
Country : US
Telephone Number : 937-278-5885
Fax Number :
Provider Business Practice Location Address
First Line : 2011 TIMBER LN
Second Line :
City : DAYTON
State : OH
Zip : 45414-4528
Country : US
Telephone Number : 937-278-5885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2014
Last Update Date : 09/22/2014

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Directions to “ LISA VALE GRANT-RAUCCI M.S., CCC-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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