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NPI Code Detail

MEDICARE: KATHRYN S. WEFEL MS, CCC-SLP

MEDICARE: KATHRYN S. WEFEL MS, 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 Pathologist102037TX

General Provider Information

NPI Number : 1144418435
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN S. WEFEL MS, CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 46035
Second Line :
City : TAMPA
State : FL
Zip : 33646-0101
Country : US
Telephone Number : 813-972-5517
Fax Number :
Provider Business Practice Location Address
First Line : 4250 66TH ST N
Second Line :
City : KENNETH CITY
State : FL
Zip : 33709-4918
Country : US
Telephone Number : 210-557-2071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2007
Last Update Date : 06/04/2008

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