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NPI Code Detail

MEDICARE: MRS. JOANNA SLOAN HAGGARD MS, CCC-SLP

MEDICARE: MRS. JOANNA SLOAN HAGGARD MS, 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
1235Z00000XSpeech-Language PathologistCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113676684OTHERCOCAQH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568882058
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOANNA SLOAN HAGGARD MS, CCC-SLP
Provider Business Mailing Address
First Line : 2233 ACADEMY PL STE 200
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1666
Country : US
Telephone Number : 719-597-0822
Fax Number : 719-434-3745
Provider Business Practice Location Address
First Line : 2761 JANITELL RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-4102
Country : US
Telephone Number : 719-623-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2014
Last Update Date : 02/19/2024

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Directions to “ MRS. JOANNA SLOAN HAGGARD MS, CCC-SLP” Practice Location

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