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NPI Code Detail

MEDICARE: LINDA DEGLI M.A.,CCC-SLP

MEDICARE: LINDA DEGLI 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 PathologistSP5073OH

General Provider Information

NPI Number : 1972834562
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA DEGLI M.A.,CCC-SLP
Provider Business Mailing Address
First Line : 1335 CAROSEL CIR NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-1801
Country : US
Telephone Number : 330-388-4386
Fax Number :
Provider Business Practice Location Address
First Line : 5005 HIGBEE AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44718-2521
Country : US
Telephone Number : 330-492-7835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2010
Last Update Date : 03/09/2013

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Directions to “ LINDA DEGLI M.A.,CCC-SLP” Practice Location

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