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NPI Code Detail

MEDICARE: MONICA MEBANE M.S

MEDICARE:   MONICA  MEBANE  M.S
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 PathologistSL009255PA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326248295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA MEBANE M.S
Provider Business Mailing Address
First Line : 519 PARK AVE
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-3772
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 383 NEW CASTLE RD
Second Line :
City : BUTLER
State : PA
Zip : 16001-1743
Country : US
Telephone Number : 724-228-1010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2007
Last Update Date : 03/21/2012

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Directions to “ MONICA MEBANE M.S” Practice Location

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