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NPI Code Detail

MEDICARE: JUSTINE O'CALLAGHAN

MEDICARE:   JUSTINE  O'CALLAGHAN
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 Pathologist30001938NC
2235Z00000XSpeech-Language Pathologist22824CA

General Provider Information

NPI Number : 1922554310
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTINE O'CALLAGHAN
Provider Business Mailing Address
First Line : 8733 HOLLY SPRINGS RD
Second Line :
City : APEX
State : NC
Zip : 27539-9194
Country : US
Telephone Number : 919-981-6588
Fax Number : 919-386-4967
Provider Business Practice Location Address
First Line : 8733 HOLLY SPRINGS RD
Second Line :
City : APEX
State : NC
Zip : 27539-9194
Country : US
Telephone Number : 919-981-6588
Fax Number : 919-386-4967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2016
Last Update Date : 05/13/2025

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Directions to “ JUSTINE O'CALLAGHAN ” Practice Location

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