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NPI Code Detail

MEDICARE: MARY L ZEHR MA, SLP

MEDICARE:   MARY L ZEHR  MA, 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 Pathologist22001980AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101084014OTHERASHA BOARD CERTIFICATION
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811036528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY L ZEHR MA, SLP
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 765-450-6664
Provider Business Practice Location Address
First Line : 7311 EAGLE CREST BLVD
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-8157
Country : US
Telephone Number : 812-213-8031
Fax Number : 765-450-6664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 10/12/2017

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Directions to “ MARY L ZEHR MA, SLP” Practice Location

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