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NPI Code Detail

MEDICARE: MS. JANE HADDAD STUART MA, CCC

MEDICARE:  MS. JANE HADDAD STUART  MA, CCC
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 PathologistSP 9815CA

General Provider Information

NPI Number : 1215198767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANE HADDAD STUART MA, CCC
Provider Business Mailing Address
First Line : 217 ISLAND RD
Second Line :
City : KINTNERSVILLE
State : PA
Zip : 18930-9764
Country : US
Telephone Number : 562-208-5048
Fax Number : 610-847-2989
Provider Business Practice Location Address
First Line : 190 PARK AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-3153
Country : US
Telephone Number : 562-439-6244
Fax Number : 562-438-6244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2008
Last Update Date : 03/06/2023

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Directions to “ MS. JANE HADDAD STUART MA, CCC” Practice Location

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