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NPI Code Detail

MEDICARE: MAGGIE MYERS

MEDICARE: MAGGIE MYERS
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 Pathologist2016022092MO
2235Z00000XSpeech-Language PathologistSP.12936OH

General Provider Information

NPI Number : 1568916146
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE MYERS
Provider Business Mailing Address
First Line : 5964 KILBEGGAN ST
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-8142
Country : US
Telephone Number : 309-256-7008
Fax Number :
Provider Business Practice Location Address
First Line : 1350 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43209-2705
Country : US
Telephone Number : 309-256-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2016
Last Update Date : 01/19/2022

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Directions to “ MAGGIE MYERS ” 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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