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NPI Code Detail

MEDICARE: TARA AMELIA TURNER MS, CCC-SLP

MEDICARE:   TARA AMELIA TURNER  MS, 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 Pathologist8751NC
2235Z00000XSpeech-Language PathologistSP.11081OH

General Provider Information

NPI Number : 1952680696
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA AMELIA TURNER MS, CCC-SLP
Provider Business Mailing Address
First Line : 3360 COLUMBIA WOODS DR APT H
Second Line :
City : NORTON
State : OH
Zip : 44203-5769
Country : US
Telephone Number : 504-343-8984
Fax Number :
Provider Business Practice Location Address
First Line : 150 N MILLER RD STE 150A
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-3713
Country : US
Telephone Number : 330-867-2240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2011
Last Update Date : 01/24/2018

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Directions to “ TARA AMELIA TURNER MS, CCC-SLP” Practice Location

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