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NPI Code Detail

MEDICARE: MISS EMILY ANN BRYANT

MEDICARE:  MISS EMILY ANN BRYANT
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
12355S0801XSpeech-Language Assistant#SLPA8340AZ

General Provider Information

NPI Number : 1942640032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS EMILY ANN BRYANT
Provider Business Mailing Address
First Line : 7758 W BOCA RATON RD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-4691
Country : US
Telephone Number : 623-692-4380
Fax Number :
Provider Business Practice Location Address
First Line : 7758 W BOCA RATON RD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-4691
Country : US
Telephone Number : 623-692-4380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2013
Last Update Date : 07/03/2013

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Directions to “ MISS EMILY ANN BRYANT ” Practice Location

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