Lisa Jayne Long in Logan - Speech-language Pathologist
Lisa Jayne Long - NPI 1205013695
Lisa Jayne Long is a Speech-language Pathologist in Logan, . Lisa Jayne Long practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa Jayne Long is 1205013695. The last update date is 2008-01-28.
Lisa Jayne Long's current location address is 506 Holly Ave, Logan, . You can contact this provider via phone number 3047922073 and fax number 3047527471. The mailing address for Lisa Jayne Long is 506 Holly Ave, Logan, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Jayne Long |
|---|---|
| Address | 506 Holly Ave, Logan, |
| Phone Number | 3047922073 |
| Fax Number | 3047527471 |
| Sole Proprietor | Y |
| Credentials | MA CCC-S |
NPI Number Detail
| NPI Number | 1205013695 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 506 Holly Ave |
|---|---|
| City | Logan |
| State | (WV) |
| Post Code | 256013306 |
| Phone Number | 3047922073 |
| Fax Number | 3047527471 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 12089807 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7402318000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lisa Jayne Long by the Centers for Medicare & Medicaid Services?
The Lisa Jayne Long has been assigned the NPI (National Provider Identifier) 1205013695 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Lisa Jayne Long's facilities are situated?
The facilities of Lisa Jayne Long are physically located at the following address: 506 Holly Ave, Logan, WV, 256013306.
What is Lisa Jayne Long's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Jayne Long is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
When did Lisa Jayne Long receive its 1205013695 assignment?
The Lisa Jayne Long was assigned its 1205013695 on 2008-01-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Lisa Jayne Long last refreshed?
The information related to the Lisa Jayne Long, including its address, specialty, and other relevant details, was last updated on 2008-01-28.