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NPI Code Detail

MEDICARE: VIRGINIA MACPHERSON M.S. CCC-SLP

MEDICARE:   VIRGINIA  MACPHERSON  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 Pathologist019021-1NY

General Provider Information

NPI Number : 1255640769
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA MACPHERSON M.S. CCC-SLP
Provider Business Mailing Address
First Line : 7903 212TH ST
Second Line :
City : HOLLIS HILLS
State : NY
Zip : 11364-3505
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7903 212TH ST
Second Line :
City : HOLLIS HILLS
State : NY
Zip : 11364-3505
Country : US
Telephone Number : 917-620-4706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 09/30/2010

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Directions to “ VIRGINIA MACPHERSON M.S. CCC-SLP” Practice Location

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