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NPI Code Detail

MEDICARE: KATIE C MIRANDA SLP

MEDICARE: KATIE C MIRANDA 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 Pathologist6959LA

General Provider Information

NPI Number : 1942600929
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE C MIRANDA SLP
Provider Business Mailing Address
First Line : 321 N THEARD ST
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2835
Country : US
Telephone Number : 985-892-2276
Fax Number :
Provider Business Practice Location Address
First Line : 321 N THEARD ST
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2835
Country : US
Telephone Number : 985-892-2276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2014
Last Update Date : 08/01/2022

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Directions to “ KATIE C MIRANDA SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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