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NPI Code Detail

MEDICARE: MS. JUDITH KEISER AUSTIN MA, CCC/SLP

MEDICARE: MS. JUDITH KEISER AUSTIN MA, 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 Pathologist136NV

General Provider Information

NPI Number : 1346475258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDITH KEISER AUSTIN MA, CCC/SLP
Provider Business Mailing Address
First Line : 1901 TROPICAL BREEZE DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7254
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1161 S VALLEY VIEW BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1854
Country : US
Telephone Number : 702-486-9231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2009
Last Update Date : 05/20/2009

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