Kimberly Gaye Tennyson in Fairfield - Developmental Therapist
Kimberly Gaye Tennyson - NPI 1407981491
Kimberly Gaye Tennyson is a Developmental Therapist in Fairfield, Illinois. Kimberly Gaye Tennyson practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Kimberly Gaye Tennyson is 1407981491. The last update date is 2007-07-08.
Kimberly Gaye Tennyson's current location address is Rr 3 Box 792, Fairfield, Illinois. You can contact this provider via phone number 6188972430 and fax number 6188972441. The mailing address for Kimberly Gaye Tennyson is Rr 3 Box 792, Fairfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Gaye Tennyson |
|---|---|
| Address | Rr 3 Box 792, Fairfield, Illinois |
| Phone Number | 6188972430 |
| Fax Number | 6188972441 |
| Sole Proprietor | Y |
| Credentials | M.ED. |
NPI Number Detail
| NPI Number | 1407981491 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Rr 3 Box 792 |
|---|---|
| City | Fairfield |
| State | Illinois (IL) |
| Post Code | 628379598 |
| Phone Number | 6188972430 |
| Fax Number | 6188972441 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique identifier code issued to Kimberly Gaye Tennyson by the Centers for Medicare & Medicaid Services (CMS)?
The Kimberly Gaye Tennyson has been assigned the NPI (National Provider Identifier) 1407981491. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Kimberly Gaye Tennyson's facilities are situated?
The facilities of Kimberly Gaye Tennyson are physically located at the following address: Rr 3 Box 792, Fairfield, IL, 628379598.
What is Kimberly Gaye Tennyson's area of expertise and its corresponding taxonomy classification?
The Kimberly Gaye Tennyson's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.
When did the Kimberly Gaye Tennyson receive its 1407981491?
The Kimberly Gaye Tennyson was issued its 1407981491 on 2007-02-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kimberly Gaye Tennyson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly Gaye Tennyson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH