MEDICARE: CLAUDIA JARRETT

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	2355S0801X	Speech-Language Assistant	SLPA8779	AZ

General Provider Information

NPI Number	:	1912300625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA JARRETT

Provider Business Mailing Address
First Line	:	15575 W MAUI LN
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-6270
Country	:	US
Telephone Number	:	623-594-2567
Fax Number	:

Provider Business Practice Location Address
First Line	:	19871 W FREMONT RD
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-9512
Country	:	US
Telephone Number	:	623-474-6600
Fax Number	:	623-474-6669

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

Provider Enumeration Date	:	10/08/2014
Last Update Date	:	10/08/2014

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Directions to “ CLAUDIA JARRETT ” Practice Location

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