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NPI Code Detail

MEDICARE: MISS MAURA PATRICE FORD CCC-SLP

MEDICARE: MISS MAURA PATRICE FORD 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 PathologistSL007876PA

General Provider Information

NPI Number : 1801090600
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MAURA PATRICE FORD CCC-SLP
Provider Business Mailing Address
First Line : 2814 SANDYFORD RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-4413
Country : US
Telephone Number : 215-219-4325
Fax Number :
Provider Business Practice Location Address
First Line : 2814 SANDYFORD RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-4413
Country : US
Telephone Number : 215-219-4325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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Directions to “ MISS MAURA PATRICE FORD CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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