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NPI Code Detail

MEDICARE: MS. MARYJANE SEELEY MS, CCC-SLP, ATP

MEDICARE:  MS. MARYJANE  SEELEY  MS, CCC-SLP, ATP
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 PathologistSA11944FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831299155
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARYJANE SEELEY MS, CCC-SLP, ATP
Provider Business Mailing Address
First Line : 130 HEIGHTS AVE
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4571
Country : US
Telephone Number : 352-419-6570
Fax Number : 888-639-2521
Provider Business Practice Location Address
First Line : 130 HEIGHTS AVE
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4571
Country : US
Telephone Number : 352-419-6570
Fax Number : 888-639-2521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 10/17/2016

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Directions to “ MS. MARYJANE SEELEY MS, CCC-SLP, ATP” Practice Location

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