MEDICARE: DEENA R SPAHN 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
1	235Z00000X	Speech-Language Pathologist	SL009236	PA

General Provider Information

NPI Number	:	1023271806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEENA R SPAHN M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1142 OAKMONT AVE
Second Line	:
City	:	OAKMONT
State	:	PA
Zip	:	15139-1220
Country	:	US
Telephone Number	:	724-991-2082
Fax Number	:

Provider Business Practice Location Address
First Line	:	9800B MCKNIGHT RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6020
Country	:	US
Telephone Number	:	412-364-2446
Fax Number	:

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

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	07/02/2008

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Directions to “ DEENA R SPAHN M.S. CCC-SLP” Practice Location

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