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NPI Code Detail

MEDICARE: JIYOUNG CARLEY

MEDICARE:   JIYOUNG  CARLEY
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 Pathologist

General Provider Information

NPI Number : 1427751999
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIYOUNG CARLEY
Provider Business Mailing Address
First Line : 209 HIGH ST
Second Line :
City : WALTHAM
State : MA
Zip : 02453-5835
Country : US
Telephone Number : 201-694-5785
Fax Number :
Provider Business Practice Location Address
First Line : 14 MICA LN STE 105
Second Line :
City : WELLESLEY
State : MA
Zip : 02481-1740
Country : US
Telephone Number : 469-737-0418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2023
Last Update Date : 03/02/2026

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Directions to “ JIYOUNG CARLEY ” Practice Location

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