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NPI Code Detail

MEDICARE: MRS. ANNE B. SCANNELL MSCCC-SLP

MEDICARE: MRS. ANNE B. SCANNELL 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 Pathologist2450-154WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912940511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNE B. SCANNELL MSCCC-SLP
Provider Business Mailing Address
First Line : 6700 N. PORT WASHINGTON RD.
Second Line : C/O ST. FRANCIS CHILDREN'S CENTER
City : GLENDALE
State : WI
Zip : 53217-3919
Country : US
Telephone Number : 414-351-8850
Fax Number : 414-351-8846
Provider Business Practice Location Address
First Line : 6700 N. PORT WASHINGTON RD.
Second Line : C/O ST. FRANCIS CHILDREN'S CENTER
City : GLENDALE
State : WI
Zip : 53217-3919
Country : US
Telephone Number : 414-351-8850
Fax Number : 414-351-8846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 11/22/2011

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