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NPI Code Detail

MEDICARE: DANA M GRAZIUL M.S. CCC-SLP

MEDICARE:   DANA M GRAZIUL  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 PathologistSL008445PA

General Provider Information

NPI Number : 1750596896
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA M GRAZIUL M.S. CCC-SLP
Provider Business Mailing Address
First Line : 738 BEECHWOOD DR
Second Line :
City : OLYPHANT
State : PA
Zip : 18447-1310
Country : US
Telephone Number : 570-489-6710
Fax Number :
Provider Business Practice Location Address
First Line : 23 ELLEN MEMORIAL LN
Second Line :
City : HONESDALE
State : PA
Zip : 18431-4096
Country : US
Telephone Number : 570-253-5690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 07/08/2007

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Directions to “ DANA M GRAZIUL M.S. CCC-SLP” Practice Location

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