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NPI Code Detail

MEDICARE: JOHN ADAMIC CCC-SLP

MEDICARE: JOHN ADAMIC 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 PathologistSL012925PA
2235Z00000XSpeech-Language Pathologist01-0001495DE

General Provider Information

NPI Number : 1396113189
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ADAMIC CCC-SLP
Provider Business Mailing Address
First Line : 2112 N FRANKLIN DR STE 4-5
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-5874
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2112 N FRANKLIN DR STE 4-5
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-5874
Country : US
Telephone Number : 724-309-0826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 03/16/2022

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Directions to “ JOHN ADAMIC CCC-SLP” Practice Location

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