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NPI Code Detail

MEDICARE: MRS. KARYN DENISE WIRTH CCC-SLP

MEDICARE:  MRS. KARYN DENISE WIRTH  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 PathologistSA 8673FL

General Provider Information

NPI Number : 1437266475
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARYN DENISE WIRTH CCC-SLP
Provider Business Mailing Address
First Line : 1325 SE 25TH LOOP STE 102
Second Line :
City : OCALA
State : FL
Zip : 34471-6090
Country : US
Telephone Number : 352-368-7728
Fax Number :
Provider Business Practice Location Address
First Line : 1325 SE 25TH LOOP STE 102
Second Line :
City : OCALA
State : FL
Zip : 34471-6090
Country : US
Telephone Number : 352-368-7728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. KARYN DENISE WIRTH CCC-SLP” Practice Location

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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.