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NPI Code Detail

MEDICARE: JENNIFER HOATS M.S., CCC-SLP, CBIS

MEDICARE: JENNIFER HOATS M.S., CCC-SLP, CBIS
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 PathologistSL008121PA

General Provider Information

NPI Number : 1831582485
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HOATS M.S., CCC-SLP, CBIS
Provider Business Mailing Address
First Line : RR 1 BOX 2102
Second Line :
City : ZION GROVE
State : PA
Zip : 17985-9734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 PENNSYLVANIA AVE
Second Line :
City : SHENANDOAH
State : PA
Zip : 17976-1332
Country : US
Telephone Number : 570-462-1921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2015
Last Update Date : 03/06/2015

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Directions to “ JENNIFER HOATS M.S., CCC-SLP, CBIS” Practice Location

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