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NPI Code Detail

MEDICARE: JEANNETTE PEPE M.S. CCC-SLP

MEDICARE: JEANNETTE PEPE M.S. 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 PathologistSL013622PA

General Provider Information

NPI Number : 1164065348
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNETTE PEPE M.S. CCC-SLP
Provider Business Mailing Address
First Line : 7950 HENRY AVE APT 22B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-7024
Country : US
Telephone Number : 732-616-6637
Fax Number :
Provider Business Practice Location Address
First Line : 2004 OLD ARCH RD
Second Line :
City : NORRISTOWN
State : PA
Zip : 19401-2008
Country : US
Telephone Number : 610-277-0380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2019
Last Update Date : 10/21/2019

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Directions to “ JEANNETTE PEPE M.S. CCC-SLP” Practice Location

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