Elaine Maria Stevick in Petaluma - Speech-language Pathologist

Elaine Maria Stevick - NPI 1043366198

Elaine Maria Stevick is a Speech-language Pathologist in Petaluma, California. Elaine Maria Stevick practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Elaine Maria Stevick is 1043366198. The last update date is 2007-07-08.

Elaine Maria Stevick's current location address is 1301 Redwood Way, Petaluma, California. You can contact this provider via phone number 7077636419 and fax number 7077632537. The mailing address for Elaine Maria Stevick is 1301 Redwood Way, Petaluma, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Elaine Maria Stevick
Address 1301 Redwood Way, Petaluma, California
Phone Number 7077636419
Fax Number 7077632537
Sole Proprietor N
Credentials M.A., C.C.

NPI Number Detail

NPI Number 1043366198
Provider Enumeration Date 2007-01-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1301 Redwood Way
City Petaluma
State California (CA)
Post Code 949541107
Phone Number 7077636419
Fax Number 7077632537

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SP2710
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
SP2710 CA SPEECH PATH LICENSE

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FAQs about Elaine Maria Stevick

What is the unique 10-digit identification code assigned to Elaine Maria Stevick by the Centers for Medicare & Medicaid Services?

The Elaine Maria Stevick has been issued the NPI (National Provider Identifier) 1043366198, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Elaine Maria Stevick is physically located?

The Elaine Maria Stevick is situated at the following address: 1301 Redwood Way, Petaluma, CA 949541107.

What is Elaine Maria Stevick'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 Elaine Maria Stevick is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.

On what date did the Elaine Maria Stevick receive its 1043366198 assignment from the Centers for Medicare & Medicaid Services?

The Elaine Maria Stevick was assigned its 1043366198 by the Centers for Medicare & Medicaid Services on 2007-01-25.

As of what date were the details related to Elaine Maria Stevick most recently updated or revised?

The information pertaining to Elaine Maria Stevick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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