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NPI Code Detail

MEDICARE: MS. ROBYN PAGE SERLIN M.S. CCC-SLP

MEDICARE: MS. ROBYN PAGE SERLIN M.S. 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 PathologistSLP0690AZ

General Provider Information

NPI Number : 1003953670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBYN PAGE SERLIN M.S. CCC-SLP
Provider Business Mailing Address
First Line : 60 W STONE LOOP APT 1323
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5140
Country : US
Telephone Number : 520-248-8889
Fax Number :
Provider Business Practice Location Address
First Line : 1200 W SPEEDWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2326
Country : US
Telephone Number : 520-770-3454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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