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NPI Code Detail

MEDICARE: SABRINA LEVAN CCC-SLP

MEDICARE: SABRINA LEVAN 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 Pathologist41YS00895500NJ

General Provider Information

NPI Number : 1841787017
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA LEVAN CCC-SLP
Provider Business Mailing Address
First Line : 24 KESLER AVE
Second Line :
City : ABSECON
State : NJ
Zip : 08201-1314
Country : US
Telephone Number : 609-335-1158
Fax Number :
Provider Business Practice Location Address
First Line : 407 GLENN AVE
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-6109
Country : US
Telephone Number : 609-335-1158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2018
Last Update Date : 04/13/2018

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Directions to “ SABRINA LEVAN CCC-SLP” Practice Location

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