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NPI Code Detail

MEDICARE: ASHLEY JAYNE DEJULIO M.A., CCC-SLP

MEDICARE: ASHLEY JAYNE DEJULIO M.A., 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 Pathologist22004999AIN

General Provider Information

NPI Number : 1922878669
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY JAYNE DEJULIO M.A., CCC-SLP
Provider Business Mailing Address
First Line : 6927 ROSE TREE CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-9096
Country : US
Telephone Number : 317-965-1067
Fax Number :
Provider Business Practice Location Address
First Line : 7510 ROSEGATE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8301
Country : US
Telephone Number : 317-889-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2024
Last Update Date : 01/04/2024

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Directions to “ ASHLEY JAYNE DEJULIO M.A., CCC-SLP” Practice Location

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