Michelle Carol Southerly in Augusta - Speech-language Pathologist
Michelle Carol Southerly - NPI 1750407425
Michelle Carol Southerly is a Speech-language Pathologist in Augusta, . Michelle Carol Southerly practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Michelle Carol Southerly is 1750407425. The last update date is 2007-07-08.
Michelle Carol Southerly's current location address is Rr 1 Box 34 A, Augusta, . You can contact this provider via phone number 3044968284 and fax number 3044969761. The mailing address for Michelle Carol Southerly is Rr 1 Box 34 A, Augusta, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Carol Southerly |
|---|---|
| Address | Rr 1 Box 34 A, Augusta, |
| Phone Number | 3044968284 |
| Fax Number | 3044969761 |
| Sole Proprietor | Y |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1750407425 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Rr 1 Box 34 A |
|---|---|
| City | Augusta |
| State | (WV) |
| Post Code | 267049706 |
| Phone Number | 3044968284 |
| Fax Number | 3044969761 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 394 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the unique 10-digit identifier code issued to Michelle Carol Southerly by the Centers for Medicare & Medicaid Services?
The Michelle Carol Southerly has been assigned the NPI (National Provider Identifier) 1750407425 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Michelle Carol Southerly is physically located?
The Michelle Carol Southerly is situated at the following address: Rr 1 Box 34 A, Augusta, WV 267049706.
What is Michelle Carol Southerly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michelle Carol Southerly's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date was the 1750407425 assigned to Michelle Carol Southerly?
The Michelle Carol Southerly was issued its 1750407425 on 2007-03-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Michelle Carol Southerly most recently updated or revised?
The details related to Michelle Carol Southerly, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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