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NPI Code Detail

MEDICARE: CLARE LAROCHELLE CCC-SLP

MEDICARE:   CLARE  LAROCHELLE  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 Pathologist

General Provider Information

NPI Number : 1225865165
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARE LAROCHELLE CCC-SLP
Provider Business Mailing Address
First Line : 1421 PINE RIDGE RD STE 120
Second Line :
City : NAPLES
State : FL
Zip : 34109-2116
Country : US
Telephone Number : 239-597-0935
Fax Number :
Provider Business Practice Location Address
First Line : 1421 PINE RIDGE RD STE 120
Second Line :
City : NAPLES
State : FL
Zip : 34109-2116
Country : US
Telephone Number : 239-597-0935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2024
Last Update Date : 09/16/2024

Similar Medicare Providers

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Practice Location Address:
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Directions to “ CLARE LAROCHELLE CCC-SLP” Practice Location

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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.