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NPI Code Detail

MEDICARE: JULIE ANN TUSA MS,CCC-SLP

MEDICARE: JULIE ANN TUSA 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 PathologistSP.10753OH

General Provider Information

NPI Number : 1972927168
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANN TUSA MS,CCC-SLP
Provider Business Mailing Address
First Line : 1609 N SUMMIT ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1806
Country : US
Telephone Number : 419-671-2600
Fax Number :
Provider Business Practice Location Address
First Line : 1609 N SUMMIT ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-1806
Country : US
Telephone Number : 419-671-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2014
Last Update Date : 09/28/2021

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Directions to “ JULIE ANN TUSA MS,CCC-SLP” Practice Location

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