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NPI Code Detail

MEDICARE: RHONDA A LAVIN MSCCC-SLP

MEDICARE:   RHONDA A LAVIN  MSCCC-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 PathologistSP 5560OH

General Provider Information

NPI Number : 1841361680
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA A LAVIN MSCCC-SLP
Provider Business Mailing Address
First Line : 2200 SOUTHLEA DR
Second Line :
City : DAYTON
State : OH
Zip : 45459-3641
Country : US
Telephone Number : 937-266-7054
Fax Number :
Provider Business Practice Location Address
First Line : 9464 US HIGHWAY 36
Second Line :
City : SAINT PARIS
State : OH
Zip : 43072-9367
Country : US
Telephone Number : 937-663-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 01/22/2016

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Directions to “ RHONDA A LAVIN MSCCC-SLP” Practice Location

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