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NPI Code Detail

MEDICARE: MS. JEANNE R SELISKAR MA, CCC-SLP

MEDICARE: MS. JEANNE R SELISKAR MA, 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 PathologistSP2493OH

General Provider Information

NPI Number : 1780880724
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEANNE R SELISKAR MA, CCC-SLP
Provider Business Mailing Address
First Line : 5979 DUNABBEY LOOP
Second Line :
City : DUBLIN
State : OH
Zip : 43017-3437
Country : US
Telephone Number : 614-889-9089
Fax Number :
Provider Business Practice Location Address
First Line : 218 ELM ST
Second Line :
City : LONDON
State : OH
Zip : 43140-2130
Country : US
Telephone Number : 740-852-3100
Fax Number : 740-852-7266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 07/08/2007

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Directions to “ MS. JEANNE R SELISKAR MA, CCC-SLP” Practice Location

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