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NPI Code Detail

MEDICARE: KAMERA WASHINGTON MS SLP

MEDICARE:   KAMERA  WASHINGTON  MS 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 PathologistSA14907FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SA14907OTHERFLSPEECH-LANGUAGE PATHOLOGY

General Provider Information

NPI Number : 1174026629
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMERA WASHINGTON MS SLP
Provider Business Mailing Address
First Line : 312 23RD ST UNIT 305
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-5921
Country : US
Telephone Number : 225-266-0677
Fax Number :
Provider Business Practice Location Address
First Line : 312 23RD ST UNIT 305
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-5921
Country : US
Telephone Number : 225-266-0677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 03/12/2018

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Directions to “ KAMERA WASHINGTON MS SLP” Practice Location

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