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NPI Code Detail

MEDICARE: AMY RUTH PRECI M.S., CCC-SLP

MEDICARE:   AMY RUTH PRECI  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
1235Z00000XSpeech-Language Pathologist25314CA

General Provider Information

NPI Number : 1588965081
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY RUTH PRECI M.S., CCC-SLP
Provider Business Mailing Address
First Line : 41555 COOK ST
Second Line : SUITE 100
City : PALM DESERT
State : CA
Zip : 92211-5184
Country : US
Telephone Number : 760-837-0033
Fax Number : 760-837-1013
Provider Business Practice Location Address
First Line : 41555 COOK ST
Second Line : SUITE 100
City : PALM DESERT
State : CA
Zip : 92211-5184
Country : US
Telephone Number : 760-837-0033
Fax Number : 760-837-1013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2010
Last Update Date : 03/06/2017

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Directions to “ AMY RUTH PRECI M.S., CCC-SLP” Practice Location

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