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NPI Code Detail

MEDICARE: AMY SCAGLIONE MA, CCC-SLP

MEDICARE:   AMY  SCAGLIONE  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 PathologistSP. 11662OH

General Provider Information

NPI Number : 1417303843
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY SCAGLIONE MA, CCC-SLP
Provider Business Mailing Address
First Line : 18 E MITHOFF ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43206-3417
Country : US
Telephone Number : 937-271-5854
Fax Number :
Provider Business Practice Location Address
First Line : 2706 HOLT RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-9688
Country : US
Telephone Number : 614-801-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2016
Last Update Date : 05/04/2016

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Directions to “ AMY SCAGLIONE MA, CCC-SLP” Practice Location

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