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NPI Code Detail

MEDICARE: MRS. ANITA OOMMEN MS CCC-SLP

MEDICARE: MRS. ANITA OOMMEN 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 Pathologist102010TX

General Provider Information

NPI Number : 1194191106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANITA OOMMEN MS CCC-SLP
Provider Business Mailing Address
First Line : 3362 FOREST LN
Second Line :
City : DALLAS
State : TX
Zip : 75234-7796
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3362 FOREST LN
Second Line :
City : DALLAS
State : TX
Zip : 75234-7796
Country : US
Telephone Number : 972-481-1484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2015
Last Update Date : 08/12/2015

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Directions to “ MRS. ANITA OOMMEN MS CCC-SLP” 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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