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NPI Code Detail

MEDICARE: MARY JAFFE MA CCC-SLP

MEDICARE: MARY JAFFE MA 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 PathologistSP-6706OH
2235Z00000XSpeech-Language PathologistSP.06706OH

General Provider Information

NPI Number : 1083784128
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY JAFFE MA CCC-SLP
Provider Business Mailing Address
First Line : 2743 TARRYTOWNE DR
Second Line :
City : TOLEDO
State : OH
Zip : 43613-1006
Country : US
Telephone Number : 419-205-5661
Fax Number :
Provider Business Practice Location Address
First Line : 5950 AIRPORT HWY STE 17
Second Line :
City : TOLEDO
State : OH
Zip : 43615-7362
Country : US
Telephone Number : 419-865-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 05/19/2023

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Directions to “ MARY JAFFE MA CCC-SLP” Practice Location

Language Start Address Practice Location
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