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NPI Code Detail

MEDICARE: PATRICIA THELEN SLP

MEDICARE: PATRICIA THELEN 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 PathologistSP217NV

General Provider Information

NPI Number : 1366954208
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA THELEN SLP
Provider Business Mailing Address
First Line : 7281 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1592
Country : US
Telephone Number : 702-655-2455
Fax Number :
Provider Business Practice Location Address
First Line : 7281 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1592
Country : US
Telephone Number : 702-655-2455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2017
Last Update Date : 11/01/2017

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Directions to “ PATRICIA THELEN SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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