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NPI Code Detail

MEDICARE: MS. JOYCE ELIZABETH SANFORD MS CCC-SLP

MEDICARE:  MS. JOYCE ELIZABETH SANFORD  MS 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 Pathologist22003609AIN

Other Identifiers

General Provider Information

NPI Number : 1467474304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOYCE ELIZABETH SANFORD MS CCC-SLP
Provider Business Mailing Address
First Line : 1116 NORTH ST
Second Line : APARTMENT A
City : LAFAYETTE
State : IN
Zip : 47904-4046
Country : US
Telephone Number : 765-714-2500
Fax Number : 765-269-9907
Provider Business Practice Location Address
First Line : 1116 NORTH ST
Second Line : APARTMENT A
City : LAFAYETTE
State : IN
Zip : 47904-4046
Country : US
Telephone Number : 765-714-2500
Fax Number : 765-269-9907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 10/07/2013

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Directions to “ MS. JOYCE ELIZABETH SANFORD MS CCC-SLP” Practice Location

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