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NPI Code Detail

MEDICARE: AISLING NIAMH DESMOND

MEDICARE:   AISLING NIAMH DESMOND
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 PathologistSA21783FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871370288
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISLING NIAMH DESMOND
Provider Business Mailing Address
First Line : 400 HILLSIDE PARK ST APT 3205
Second Line :
City : MINNEOLA
State : FL
Zip : 34715-6178
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 235 CITRUS TOWER BLVD STE 105
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2711
Country : US
Telephone Number : 321-974-4122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2023
Last Update Date : 09/11/2023

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Directions to “ AISLING NIAMH DESMOND ” Practice Location

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