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NPI Code Detail

MEDICARE: JUSTINE LOREATTA MIDCALF

MEDICARE: JUSTINE LOREATTA MIDCALF
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 Pathologist30005185NC

General Provider Information

NPI Number : 1164306650
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTINE LOREATTA MIDCALF
Provider Business Mailing Address
First Line : 3060 CUKELA AVE
Second Line :
City : CAMP LEJEUNE
State : NC
Zip : 28547-1413
Country : US
Telephone Number : 920-285-3469
Fax Number :
Provider Business Practice Location Address
First Line : 2994 OLD AIRPORT RD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-8738
Country : US
Telephone Number : 252-672-8680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 06/03/2026

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Directions to “ JUSTINE LOREATTA MIDCALF ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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