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NPI Code Detail

MEDICARE: JENNIFER ZADEH SLP

MEDICARE:   JENNIFER  ZADEH  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 PathologistSL009570PA

General Provider Information

NPI Number : 1528295748
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ZADEH SLP
Provider Business Mailing Address
First Line : 960 STATE ROUTE 502
Second Line :
City : SPRING BROOK TOWNSHIP
State : PA
Zip : 18444-6415
Country : US
Telephone Number : 570-842-9195
Fax Number :
Provider Business Practice Location Address
First Line : 960 STATE ROUTE 502
Second Line :
City : SPRING BROOK TOWNSHIP
State : PA
Zip : 18444-6415
Country : US
Telephone Number : 570-842-9195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2009
Last Update Date : 06/15/2009

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Directions to “ JENNIFER ZADEH SLP” Practice Location

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