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NPI Code Detail

MEDICARE: MAGGIE GONS SLP

MEDICARE: MAGGIE GONS 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
1222Q00000XDevelopmental Therapist
2235Z00000XSpeech-Language PathologistSP8551OH

General Provider Information

NPI Number : 1275061327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE GONS SLP
Provider Business Mailing Address
First Line : 5132 SCHUYLKILL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2551
Country : US
Telephone Number : 614-989-9461
Fax Number :
Provider Business Practice Location Address
First Line : 5132 SCHUYLKILL ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-2551
Country : US
Telephone Number : 614-989-9461
Fax Number : 614-989-9461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 06/01/2017

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Directions to “ MAGGIE GONS SLP” Practice Location

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