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NPI Code Detail

MEDICARE: MRS. DARCIE OSGOOD M.A. CCC SLP

MEDICARE:  MRS. DARCIE  OSGOOD  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 PathologistSP-984NV

General Provider Information

NPI Number : 1083827216
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARCIE OSGOOD M.A. CCC SLP
Provider Business Mailing Address
First Line : 5368 WASHINGTON APPLE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-8619
Country : US
Telephone Number : 702-492-9124
Fax Number :
Provider Business Practice Location Address
First Line : 2832 E FLAMINGO RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5205
Country : US
Telephone Number : 702-799-0235
Fax Number : 702-799-2835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. DARCIE OSGOOD M.A. CCC SLP” Practice Location

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