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NPI Code Detail

MEDICARE: JANE LYN SLIFER

MEDICARE:   JANE LYN SLIFER
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 Pathologist146.004366IL

General Provider Information

NPI Number : 1164015251
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE LYN SLIFER
Provider Business Mailing Address
First Line : 205 N STATE ST
Second Line :
City : DANVERS
State : IL
Zip : 61732-9087
Country : US
Telephone Number : 309-963-4514
Fax Number :
Provider Business Practice Location Address
First Line : OLYMPIA NORTH ELEMENTARY SCHOOL
Second Line : 205 N STATE STREET
City : DANVERS
State : IL
Zip : 61732-6173
Country : US
Telephone Number : 309-963-4514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2021
Last Update Date : 02/19/2021

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Directions to “ JANE LYN SLIFER ” Practice Location

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