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NPI Code Detail

MEDICARE: ANN MUNSON

MEDICARE: ANN MUNSON
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 PathologistLL60322513WA

General Provider Information

NPI Number : 1932640661
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MUNSON
Provider Business Mailing Address
First Line : 2320 BORST AVE
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-1410
Country : US
Telephone Number : 360-827-6446
Fax Number :
Provider Business Practice Location Address
First Line : 2320 BORST AVE
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-1410
Country : US
Telephone Number : 360-827-6446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2017
Last Update Date : 03/14/2017

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Directions to “ ANN MUNSON ” Practice Location

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