MEDICARE: JANE SNELLINGS 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	#SLPL0195	AZ

General Provider Information

NPI Number	:	1649301078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE SNELLINGS SLP

Provider Business Mailing Address
First Line	:	13049 S 42ND PL
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-3921
Country	:	US
Telephone Number	:	480-592-0856
Fax Number	:

Provider Business Practice Location Address
First Line	:	7702 N 39TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-6419
Country	:	US
Telephone Number	:	602-347-3100
Fax Number	:

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

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Directions to “ JANE SNELLINGS SLP” Practice Location

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