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NPI Code Detail

MEDICARE: MISS MARCIA ANGELA RICHARDS MS., CCC-SLP

MEDICARE: MISS MARCIA ANGELA RICHARDS MS., 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 Pathologist010399-1NY

General Provider Information

NPI Number : 1831325604
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARCIA ANGELA RICHARDS MS., CCC-SLP
Provider Business Mailing Address
First Line : 2035 DUTCH BROADWAY
Second Line :
City : ELMONT
State : NY
Zip : 11003-4247
Country : US
Telephone Number : 516-285-6234
Fax Number :
Provider Business Practice Location Address
First Line : 2035 DUTCH BROADWAY
Second Line :
City : ELMONT
State : NY
Zip : 11003-4247
Country : US
Telephone Number : 516-285-6234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2009
Last Update Date : 06/06/2009

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Directions to “ MISS MARCIA ANGELA RICHARDS MS., CCC-SLP” Practice Location

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