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NPI Code Detail

MEDICARE: JEAN P. SKEFFINGTON CCC-SLP

MEDICARE:   JEAN P. SKEFFINGTON  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 Pathologist115345TX

General Provider Information

NPI Number : 1053854133
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN P. SKEFFINGTON CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 110475
Second Line :
City : CARROLLTON
State : TX
Zip : 75011-0475
Country : US
Telephone Number : 214-307-1911
Fax Number : 855-499-1471
Provider Business Practice Location Address
First Line : 10601 CLARENCE DR STE 250
Second Line :
City : FRISCO
State : TX
Zip : 75033-3867
Country : US
Telephone Number : 214-307-1911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2016
Last Update Date : 07/15/2022

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Directions to “ JEAN P. SKEFFINGTON CCC-SLP” Practice Location

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