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NPI Code Detail

MEDICARE: MISS LYSKA FOGLEMAN M.S. CF-SLP

MEDICARE: MISS LYSKA FOGLEMAN M.S. CF-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 Pathologist7308SC

General Provider Information

NPI Number : 1235740036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LYSKA FOGLEMAN M.S. CF-SLP
Provider Business Mailing Address
First Line : 1169 SHARPESTOWNE CT
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-7564
Country : US
Telephone Number : 850-341-0418
Fax Number : 866-475-7515
Provider Business Practice Location Address
First Line : 1169 SHARPESTOWNE CT
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-7564
Country : US
Telephone Number : 850-341-0418
Fax Number : 866-475-7515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2020
Last Update Date : 08/14/2020

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Directions to “ MISS LYSKA FOGLEMAN M.S. CF-SLP” Practice Location

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