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NPI Code Detail

MEDICARE: PAIGE PRIESMAN MS

MEDICARE: PAIGE PRIESMAN MS
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 Pathologist

General Provider Information

NPI Number : 1902541741
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE PRIESMAN MS
Provider Business Mailing Address
First Line : 11732 W STATE ROUTE 105
Second Line :
City : OAK HARBOR
State : OH
Zip : 43449-9406
Country : US
Telephone Number : 419-707-4669
Fax Number :
Provider Business Practice Location Address
First Line : 20311 PEMBERVILLE RD
Second Line :
City : PEMBERVILLE
State : OH
Zip : 43450-9413
Country : US
Telephone Number : 419-833-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2022
Last Update Date : 05/04/2022

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Directions to “ PAIGE PRIESMAN MS” Practice Location

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