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NPI Code Detail

MEDICARE: EMILY JANE SHEARER

MEDICARE: EMILY JANE SHEARER
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 PathologistCOND.2015195OH
2235Z00000XSpeech-Language PathologistSP.12041OH

General Provider Information

NPI Number : 1487005633
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY JANE SHEARER
Provider Business Mailing Address
First Line : 633 W 5TH ST OFC 2876B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90071-2005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 E BUSINESS WAY STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-2389
Country : US
Telephone Number : 512-399-0064
Fax Number : 614-388-5808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2016
Last Update Date : 03/23/2023

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Directions to “ EMILY JANE SHEARER ” Practice Location

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