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NPI Code Detail

MEDICARE: MS. DEANN GILES SLP

MEDICARE: MS. DEANN GILES 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 PathologistSL005582LPA

General Provider Information

NPI Number : 1366611691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEANN GILES SLP
Provider Business Mailing Address
First Line : 1039 MILL RD
Second Line :
City : LEESPORT
State : PA
Zip : 19533-9022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 W LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-4039
Country : US
Telephone Number : 215-203-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2008
Last Update Date : 02/20/2008

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Directions to “ MS. DEANN GILES SLP” Practice Location

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