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NPI Code Detail

MEDICARE: MS. JANEL LYNN TAISEY M.A., CCC/SLP

MEDICARE: MS. JANEL LYNN TAISEY M.A., 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 Pathologist016591-1NY

General Provider Information

NPI Number : 1023253309
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANEL LYNN TAISEY M.A., CCC/SLP
Provider Business Mailing Address
First Line : 6723 TOWPATH RD
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-9506
Country : US
Telephone Number : 315-425-1004
Fax Number :
Provider Business Practice Location Address
First Line : 6723 TOWPATH RD
Second Line :
City : EAST SYRACUSE
State : NY
Zip : 13057-9506
Country : US
Telephone Number : 315-425-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2008
Last Update Date : 06/22/2021

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