Susannah C Doherty in Jacksonville - Speech-language Pathologist
Susannah C Doherty - NPI 1669564282
Susannah C Doherty is a Speech-language Pathologist in Jacksonville, Florida. Susannah C Doherty practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Susannah C Doherty is 1669564282. The last update date is 2007-07-08.
Susannah C Doherty's current location address is 12276 San Jose Blvd., Jacksonville, Florida. You can contact this provider via phone number 9048863228. The mailing address for Susannah C Doherty is 12276 San Jose Blvd., Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susannah C Doherty |
|---|---|
| Address | 12276 San Jose Blvd., Jacksonville, Florida |
| Phone Number | 9048863228 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1669564282 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12276 San Jose Blvd. |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322238628 |
| Phone Number | 9048863228 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SA3951 |
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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 Susannah C Doherty's unique identification number?
The Susannah C Doherty has been assigned the NPI (National Provider Identifier) Number 1669564282 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Susannah C Doherty?
The Susannah C Doherty is situated at 12276 San Jose Blvd., in the city of Jacksonville, state of FL, with the zip code 322238628.
What is the Susannah C Doherty's area of specialization and corresponding taxonomy classification?
The Susannah C Doherty's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Susannah C Doherty receive the assignment of its 1669564282 from the Centers for Medicare & Medicaid Services?
The Susannah C Doherty was issued its 1669564282 by the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date were the details related to Susannah C Doherty most recently updated or revised?
The information pertaining to Susannah C Doherty, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.