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NPI Code Detail

MEDICARE: WINBUSH CONSULTING SERVICES, LLC

MEDICARE: WINBUSH CONSULTING SERVICES, LLC
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
1252Y00000XEarly Intervention Provider Agency2982LA

General Provider Information

NPI Number : 1225265655
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINBUSH CONSULTING SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 65375
Second Line :
City : BATON ROUGE
State : LA
Zip : 70896-5375
Country : US
Telephone Number : 225-413-8221
Fax Number :
Provider Business Practice Location Address
First Line : 765 PARLANGE DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-1844
Country : US
Telephone Number : 225-413-8221
Fax Number :
Authorized Official
Title or Position : AUDIOLOGIST/OWNER
Name : REGINA P WINBUSH
Credential : M.S., CCC-A
Telephone Number : 225-413-8221
Provider Enumeration Date : 06/11/2009
Last Update Date : 06/11/2009

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Directions to “WINBUSH CONSULTING SERVICES, LLC ” Practice Location

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