MEDICARE: NATALIE DEAL M.S. 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
1	235Z00000X	Speech-Language Pathologist	41YS00608500	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1006082	OTHER	IA	MARSH U.S. CONSUMER PROFESSIONAL LIABILITY INSURANCE

General Provider Information

NPI Number	:	1558698415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE DEAL M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	3 EVES DR
Second Line	:	#308
City	:	MARLTON
State	:	NJ
Zip	:	08053-3129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 EVES DR
Second Line	:	#308
City	:	MARLTON
State	:	NJ
Zip	:	08053-3129
Country	:	US
Telephone Number	:	856-334-5238
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2009
Last Update Date	:	08/19/2016

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Directions to “ NATALIE DEAL M.S. CCC-SLP” Practice Location

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