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NPI Code Detail

MEDICARE: MISS NATASHA MCCOY SLP

MEDICARE:  MISS NATASHA  MCCOY  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 Pathologist8627CA

General Provider Information

NPI Number : 1699105098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NATASHA MCCOY SLP
Provider Business Mailing Address
First Line : 1751 KINCAID AVE
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-4330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5312 BOLSA AVE STE 105
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1060
Country : US
Telephone Number : 714-965-2324
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2013
Last Update Date : 07/27/2020

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Directions to “ MISS NATASHA MCCOY SLP” Practice Location

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