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NPI Code Detail

MEDICARE: KAREN ASTIN CCC-SLP

MEDICARE:   KAREN  ASTIN  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 Pathologist4375SC

General Provider Information

NPI Number : 1861793093
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ASTIN CCC-SLP
Provider Business Mailing Address
First Line : 1904 GRANDVIEW CT
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-9464
Country : US
Telephone Number : 508-560-5205
Fax Number :
Provider Business Practice Location Address
First Line : 1904 GRANDVIEW CT
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-9464
Country : US
Telephone Number : 508-560-5205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2010
Last Update Date : 04/10/2014

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Directions to “ KAREN ASTIN CCC-SLP” Practice Location

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