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NPI Code Detail

MEDICARE: JOSEPHINE BOLAND SLP

MEDICARE: JOSEPHINE BOLAND 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.13234OH

General Provider Information

NPI Number : 1487135372
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPHINE BOLAND SLP
Provider Business Mailing Address
First Line : 6093 WEBER OAKS DR
Second Line :
City : LOVELAND
State : OH
Zip : 45140-8532
Country : US
Telephone Number : 513-375-1204
Fax Number :
Provider Business Practice Location Address
First Line : 5070 LAMME RD
Second Line :
City : MORAINE
State : OH
Zip : 45439-3266
Country : US
Telephone Number : 937-293-7703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “ JOSEPHINE BOLAND SLP” Practice Location

Language Start Address Practice Location
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.

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