Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI # | 1922695899 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 12/28/2020 | ||||
| Last updated | 06/14/2024 - More than a year ago | ||||
| Identifiers |
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MELANIE C AHERN
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