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NPI Code Detail

MEDICARE: JULIE FARNSWORTH SPECK CCC/SLP

MEDICARE: JULIE FARNSWORTH SPECK 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 Pathologist01668IA

General Provider Information

NPI Number : 1760639371
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE FARNSWORTH SPECK CCC/SLP
Provider Business Mailing Address
First Line : 1915 PHILADELPHIA ST
Second Line :
City : AMES
State : IA
Zip : 50010-8768
Country : US
Telephone Number : 515-232-7220
Fax Number :
Provider Business Practice Location Address
First Line : 1915 PHILADELPHIA ST
Second Line :
City : AMES
State : IA
Zip : 50010-8768
Country : US
Telephone Number : 515-232-7220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 02/09/2022

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Directions to “ JULIE FARNSWORTH SPECK CCC/SLP” Practice Location

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