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NPI Code Detail

MEDICARE: MS. SYDNEY JANELLE PERRICONE M.S., CCC-SLP

MEDICARE: MS. SYDNEY JANELLE PERRICONE 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 Pathologist105927TX

General Provider Information

NPI Number : 1740628684
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SYDNEY JANELLE PERRICONE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number :
Provider Business Practice Location Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 11/07/2018

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Directions to “ MS. SYDNEY JANELLE PERRICONE M.S., CCC-SLP” Practice Location

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