Faith A Pourkaveh in Mesa - Speech-language Pathologist
Faith A Pourkaveh - NPI 1730303769
Faith A Pourkaveh is a Speech-language Pathologist in Mesa, Arizona. Faith A Pourkaveh practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Faith A Pourkaveh is 1730303769. The last update date is 2007-07-09.
Faith A Pourkaveh's current location address is 1025 N Country Club Dr, Mesa, Arizona. You can contact this provider via phone number 4804720502 and fax number 4804720705. The mailing address for Faith A Pourkaveh is 1025 N Country Club Dr, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Faith A Pourkaveh |
|---|---|
| Address | 1025 N Country Club Dr, Mesa, Arizona |
| Phone Number | 4804720502 |
| Fax Number | 4804720705 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1730303769 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1025 N Country Club Dr |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852013307 |
| Phone Number | 4804720502 |
| Fax Number | 4804720705 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP0740 |
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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 |
|---|---|---|---|
| 16859 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Faith A Pourkaveh by the Centers for Medicare & Medicaid Services?
The Faith A Pourkaveh has been issued the NPI (National Provider Identifier) 1730303769. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Faith A Pourkaveh is physically located?
The Faith A Pourkaveh is physically situated at the following address: 1025 N Country Club Dr, Mesa, AZ, 852013307.
What is Faith A Pourkaveh's specialized field of practice, and what is the corresponding taxonomy classification code?
The Faith A Pourkaveh's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730303769 to Faith A Pourkaveh?
The Faith A Pourkaveh received its 1730303769 assignment from the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date were the Faith A Pourkaveh's details last updated?
The information pertaining to the Faith A Pourkaveh, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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