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NPI Code Detail

MEDICARE: DONNA CREEGAN M.S. CCC SLP

MEDICARE:   DONNA  CREEGAN  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 Pathologist005038-1NY

General Provider Information

NPI Number : 1609151935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA CREEGAN M.S. CCC SLP
Provider Business Mailing Address
First Line : 4324 RIDGE RD
Second Line : PO 47
City : ELBA
State : NY
Zip : 14058-9763
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4324 RIDGE RD
Second Line : PO 47
City : ELBA
State : NY
Zip : 14058-9763
Country : US
Telephone Number : 585-734-7416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2011
Last Update Date : 10/21/2011

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Directions to “ DONNA CREEGAN M.S. CCC SLP” 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.