Crystal Chadderton Koenig in Jacksonville - Developmental Therapist
Crystal Chadderton Koenig - NPI 1578781233
Crystal Chadderton Koenig is a Developmental Therapist in Jacksonville, Florida. Crystal Chadderton Koenig practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Crystal Chadderton Koenig is 1578781233. The last update date is 2013-10-28.
Crystal Chadderton Koenig's current location address is 11439 Kabroon Ct, Jacksonville, Florida. You can contact this provider via phone number 9046082848. The mailing address for Crystal Chadderton Koenig is 11439 Kabroon Ct, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal Chadderton Koenig |
|---|---|
| Address | 11439 Kabroon Ct, Jacksonville, Florida |
| Phone Number | 9046082848 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.ED. |
NPI Number Detail
| NPI Number | 1578781233 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2013-10-28 |
Provider Mailing Address Detail
| Address | 11439 Kabroon Ct |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322466920 |
| Phone Number | 9046082848 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 811897300 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Crystal Chadderton Koenig by the Centers for Medicare & Medicaid Services?
The Crystal Chadderton Koenig has been assigned the NPI (National Provider Identifier) 1578781233. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Crystal Chadderton Koenig located?
The Crystal Chadderton Koenig is located at 11439 Kabroon Ct, Jacksonville, FL 322466920.
What is the Crystal Chadderton Koenig's specialty and taxonomy code?
The Crystal Chadderton Koenig's specialty is Developmental Therapist, and the corresponding taxonomy code is 222Q00000X.
When did Crystal Chadderton Koenig receive its 1578781233 assignment?
The Crystal Chadderton Koenig was assigned its 1578781233 on 2007-04-20, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Crystal Chadderton Koenig most recently updated or revised?
The information pertaining to Crystal Chadderton Koenig, including its address, specialty, and other relevant details, was last updated or revised on 2013-10-28.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC