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NPI Code Detail

MEDICARE: MACKENSEY BUELL

MEDICARE: MACKENSEY BUELL
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 PathologistSL013992PA

General Provider Information

NPI Number : 1588287452
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENSEY BUELL
Provider Business Mailing Address
First Line : 340 N MIDDLETOWN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-5505
Country : US
Telephone Number : 610-952-9232
Fax Number :
Provider Business Practice Location Address
First Line : 340 N MIDDLETOWN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-5505
Country : US
Telephone Number : 610-952-9232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2020
Last Update Date : 05/26/2020

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Directions to “ MACKENSEY BUELL ” 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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