MEDICARE: MERRIE CAROL VOIGT MA

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	700	NV

General Provider Information

NPI Number	:	1609061084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERRIE CAROL VOIGT MA

Provider Business Mailing Address
First Line	:	245 E CENTENNIAL PKWY
Second Line	:	APARTMENT 1088
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-1354
Country	:	US
Telephone Number	:	775-815-1025
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 E CENTENNIAL PKWY
Second Line	:	APARTMENT 1088
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-1354
Country	:	US
Telephone Number	:	775-815-1025
Fax Number	:

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

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	03/22/2010

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Directions to “ MERRIE CAROL VOIGT MA” Practice Location

Language	Start Address	Practice Location

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