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NPI Code Detail

MEDICARE: DANA TINGLEY M.S., CCC-SLP

MEDICARE: DANA TINGLEY 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 Pathologist5063OH

General Provider Information

NPI Number : 1215060264
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA TINGLEY M.S., CCC-SLP
Provider Business Mailing Address
First Line : 513 WOODHAVEN TRL
Second Line :
City : YELLOW SPRINGS
State : OH
Zip : 45387-7702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1390 KING TREE DR
Second Line :
City : DAYTON
State : OH
Zip : 45405-1401
Country : US
Telephone Number : 937-278-0723
Fax Number : 937-279-9369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/08/2007

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Directions to “ DANA TINGLEY M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
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