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NPI Code Detail

MEDICARE: JANA L HOTHAN M.A., CCC-SLP

MEDICARE: JANA L HOTHAN M.A., 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 PathologistPSLP.0000297CO

General Provider Information

NPI Number : 1700364957
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA L HOTHAN M.A., CCC-SLP
Provider Business Mailing Address
First Line : 7635 PINERY CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-2837
Country : US
Telephone Number : 719-338-8165
Fax Number :
Provider Business Practice Location Address
First Line : 7635 PINERY CIR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-2837
Country : US
Telephone Number : 719-338-8165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2018
Last Update Date : 07/31/2018

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Directions to “ JANA L HOTHAN M.A., CCC-SLP” Practice Location

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