Mildred Louise Pate in Mc Leansboro - Developmental Therapist
Mildred Louise Pate - NPI 1245415009
Mildred Louise Pate is a Developmental Therapist in Mc Leansboro, Illinois. Mildred Louise Pate practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Mildred Louise Pate is 1245415009. The last update date is 2007-12-29.
Mildred Louise Pate's current location address is Rr 4 Box 222, Mc Leansboro, Illinois. You can contact this provider via phone number 6187734541. The mailing address for Mildred Louise Pate is Rr 4 Box 222, Mc Leansboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mildred Louise Pate |
|---|---|
| Address | Rr 4 Box 222, Mc Leansboro, Illinois |
| Phone Number | 6187734541 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DT |
NPI Number Detail
| NPI Number | 1245415009 |
|---|---|
| Provider Enumeration Date | 2007-12-29 |
| Last Updated Date | 2007-12-29 |
Provider Mailing Address Detail
| Address | Rr 4 Box 222 |
|---|---|
| City | Mc Leansboro |
| State | Illinois (IL) |
| Post Code | 628599461 |
| Phone Number | 6187734541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | MP14130298P |
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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 Mildred Louise Pate's 1245415009?
The Mildred Louise Pate's NPI (National Provider Identifier) Number is 1245415009. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mildred Louise Pate is geographically located?
The Mildred Louise Pate is physically situated at the following location: Rr 4 Box 222, Mc Leansboro, IL, 628599461.
What is the Mildred Louise Pate's specialty and taxonomy code?
The Mildred Louise Pate's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.
On what date did Mildred Louise Pate receive its 1245415009 assignment from the Centers for Medicare & Medicaid Services?
The Mildred Louise Pate was assigned its 1245415009 on 2007-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mildred Louise Pate last refreshed?
The information related to the Mildred Louise Pate, including its address, specialty, and other relevant details, was last updated on 2007-12-29.
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