MEDICARE: JANETTE MCAFEE 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	16052	CA

General Provider Information

NPI Number	:	1669056958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANETTE MCAFEE M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	2204 HOWARD AVE
Second Line	:
City	:	SAN CARLOS
State	:	CA
Zip	:	94070-4511
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 HOWARD AVE
Second Line	:
City	:	SAN CARLOS
State	:	CA
Zip	:	94070-4511
Country	:	US
Telephone Number	:	650-523-4924
Fax Number	:

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

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	05/12/2021

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