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NPI Code Detail

MEDICARE: SYDNEY MCQUINN

MEDICARE: SYDNEY MCQUINN
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 Pathologist2014020535MO

General Provider Information

NPI Number : 1821457847
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY MCQUINN
Provider Business Mailing Address
First Line : 1429 S MUNN AVE
Second Line :
City : MARYVILLE
State : MO
Zip : 64468-2756
Country : US
Telephone Number : 660-582-3768
Fax Number :
Provider Business Practice Location Address
First Line : 1429 S MUNN AVE
Second Line :
City : MARYVILLE
State : MO
Zip : 64468-2756
Country : US
Telephone Number : 660-582-3768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2016
Last Update Date : 02/18/2016

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Directions to “ SYDNEY MCQUINN ” 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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