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NPI Code Detail

MEDICARE: MS. ELIZABETH MARY DENZER M.S

MEDICARE: MS. ELIZABETH MARY DENZER M.S
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 Pathologist2202005965VA
2235Z00000XSpeech-Language PathologistSL015175PA

General Provider Information

NPI Number : 1801198122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH MARY DENZER M.S
Provider Business Mailing Address
First Line : 30 CHERRY ACRES DR
Second Line :
City : HAMPTON
State : VA
Zip : 23669-2902
Country : US
Telephone Number : 757-281-8619
Fax Number :
Provider Business Practice Location Address
First Line : 7007 HARBOUR VIEW BLVD
Second Line :
City : SUFFOLK
State : VA
Zip : 23435-3657
Country : US
Telephone Number : 757-889-4663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2010
Last Update Date : 06/17/2024

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