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NPI Code Detail

MEDICARE: PEYTON DEAN MS CCC-CLP

MEDICARE:   PEYTON  DEAN  MS CCC-CLP
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 Pathologist

General Provider Information

NPI Number : 1548835002
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEYTON DEAN MS CCC-CLP
Provider Business Mailing Address
First Line : 3626 TAMARACK AVE # 2
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1317
Country : US
Telephone Number : 304-546-6580
Fax Number :
Provider Business Practice Location Address
First Line : 2990 RIGGS RD
Second Line :
City : ERLANGER
State : KY
Zip : 41018-3029
Country : US
Telephone Number : 859-727-9330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2021
Last Update Date : 05/26/2021

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Directions to “ PEYTON DEAN MS CCC-CLP” 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.