Susan Gayle Mendicino in Buckhannon - Speech-language Pathologist

Susan Gayle Mendicino - NPI 1649441064

Susan Gayle Mendicino is a Speech-language Pathologist in Buckhannon, . Susan Gayle Mendicino practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Susan Gayle Mendicino is 1649441064. The last update date is 2008-03-13.

Susan Gayle Mendicino's current location address is 102 Smithfield St, Buckhannon, . You can contact this provider via phone number 3046246554 and fax number 3046245223. The mailing address for Susan Gayle Mendicino is 102 Smithfield St, Buckhannon, . To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Gayle Mendicino
Address 102 Smithfield St, Buckhannon,
Phone Number 3046246554
Fax Number 3046245223
Sole Proprietor Y
Credentials MS,CCC/SLP

NPI Number Detail

NPI Number 1649441064
Provider Enumeration Date 2008-03-13
Last Updated Date 2008-03-13

Provider Mailing Address Detail

Address 102 Smithfield St
City Buckhannon
State (WV)
Post Code 262012620
Phone Number 3046246554
Fax Number 3046245223

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
155261000 WV --

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FAQs about Susan Gayle Mendicino

What is the unique identifier code issued to Susan Gayle Mendicino by the Centers for Medicare & Medicaid Services (CMS)?

The Susan Gayle Mendicino has been assigned the NPI (National Provider Identifier) 1649441064. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Susan Gayle Mendicino is physically located?

The Susan Gayle Mendicino is physically situated at the following address: 102 Smithfield St, Buckhannon, WV, 262012620.

What is Susan Gayle Mendicino's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Susan Gayle Mendicino's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649441064 to Susan Gayle Mendicino?

The Centers for Medicare & Medicaid Services originally issued the 1649441064 to Susan Gayle Mendicino on 2008-03-13.

When was the information regarding Susan Gayle Mendicino, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susan Gayle Mendicino, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-13.

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