MEDICARE: ANNE BORAN

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
1	235Z00000X	Speech-Language Pathologist	SL010972	PA

General Provider Information

NPI Number	:	1811397235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE BORAN

Provider Business Mailing Address
First Line	:	10600 YORK RD
Second Line	:
City	:	COCKEYSVILLE
State	:	MD
Zip	:	21030-2351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2880 HORSESHOE PIKE
Second Line	:
City	:	PALMYRA
State	:	PA
Zip	:	17078-9039
Country	:	US
Telephone Number	:	717-838-2231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2014
Last Update Date	:	09/04/2014

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Directions to “ ANNE BORAN ” Practice Location

Language	Start Address	Practice Location

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