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NPI Code Detail

MEDICARE: JILL L MAUL SLP

MEDICARE:   JILL L MAUL  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 PathologistSL007439PA

General Provider Information

NPI Number : 1063655397
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL L MAUL SLP
Provider Business Mailing Address
First Line : 157 BALTIMORE ST
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-2472
Country : US
Telephone Number : 301-722-3215
Fax Number : 301-722-1450
Provider Business Practice Location Address
First Line : 128 LOGAN BLVD
Second Line :
City : HOLLIDAYSBURG
State : PA
Zip : 16648-2604
Country : US
Telephone Number : 814-317-1081
Fax Number : 814-317-1081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2009
Last Update Date : 04/16/2009

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Directions to “ JILL L MAUL SLP” Practice Location

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