MEDICARE: MRS. TRICIA BETH ARNSMAN 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
1	235Z00000X	Speech-Language Pathologist	146007865	IL

General Provider Information

NPI Number	:	1609175710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRICIA BETH ARNSMAN M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1919 E 850TH PL
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62305-0038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 E 850TH PL
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62305-0038
Country	:	US
Telephone Number	:	217-964-2262
Fax Number	:

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

Provider Enumeration Date	:	03/15/2011
Last Update Date	:	03/15/2011

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Directions to “ MRS. TRICIA BETH ARNSMAN M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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