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NPI Code Detail

MEDICARE: APPALACHIAN STATE UNIVERSITY

MEDICARE: APPALACHIAN STATE UNIVERSITY
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
1261QH0700XHearing and Speech Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20101POTHERNCBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1851387286
Entity Type Code : Organization
Provider Name (Legal Business Name) : APPALACHIAN STATE UNIVERSITY
Provider Business Mailing Address
First Line : 400 UNIVERSITY HALL DRIVE
Second Line : ROOM 120
City : BOONE
State : NC
Zip : 28608-2041
Country : US
Telephone Number : 828-262-2185
Fax Number : 828-262-6766
Provider Business Practice Location Address
First Line : 400 UNIVERSITY HALL DRIVE
Second Line : ROOM 120
City : BOONE
State : NC
Zip : 28608-2041
Country : US
Telephone Number : 828-262-2185
Fax Number : 828-262-6766
Authorized Official
Title or Position : INTERPROFESSIONAL CLINIC DIRECTOR
Name : MR. BRYAN BELCHER
Credential : MPH
Telephone Number : 828-262-8657
Provider Enumeration Date : 09/21/2005
Last Update Date : 02/14/2019

Similar Medicare Providers

1043232903 — PAMELA A HENSON MS CCCSLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1952323818 — MARY RUTH SIZER MA, CCCA, FAAA
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1679595532 — JENNIFER P VAN GILDER MA, CCC, SLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1194749457 — DR. TIMOTHY BRETT HARRIS PHD CCCSLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1003830365 — LISA H FORSTER MA CCCSLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766
1306850979 — BLISS HEMRIC MA CCC SLP
Practice Location Address:
400 UNIVERSITY HALL DRIVE , ROOM 120
BOONE, NC
28608-2041
Practice Phone: 828-262-2185
Practice Fax: 828-262-6766

Directions to “APPALACHIAN STATE UNIVERSITY ” Practice Location

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