Channing Heavenor Creveling in Ocoee - Speech-language Pathologist

Channing Heavenor Creveling - NPI 1700805686

Channing Heavenor Creveling is a Speech-language Pathologist in Ocoee, Florida. Channing Heavenor Creveling practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Channing Heavenor Creveling is 1700805686. The last update date is 2020-10-10.

Channing Heavenor Creveling's current location address is 1746 E Silver Star Rd Ste 133, Ocoee, Florida. You can contact this provider via phone number 9105382325. The mailing address for Channing Heavenor Creveling is 1746 E Silver Star Rd Ste 133, Ocoee, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Channing Heavenor Creveling
Address 1746 E Silver Star Rd Ste 133, Ocoee, Florida
Phone Number 9105382325
Fax Number
Sole Proprietor Y
Credentials MA CCC-SLP

NPI Number Detail

NPI Number 1700805686
Provider Enumeration Date 2006-07-19
Last Updated Date 2020-10-10

Provider Mailing Address Detail

Address 1746 E Silver Star Rd Ste 133
City Ocoee
State Florida (FL)
Post Code 347617014
Phone Number 9105382325
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SA12781
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
7412500 NC --
104167600 FL --

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FAQs about Channing Heavenor Creveling

What is the unique 10-digit identifier code issued to Channing Heavenor Creveling by the Centers for Medicare & Medicaid Services?

The Channing Heavenor Creveling has been assigned the NPI (National Provider Identifier) 1700805686 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Channing Heavenor Creveling?

The Channing Heavenor Creveling is situated at 1746 E Silver Star Rd Ste 133, in the city of Ocoee, state of FL, with the zip code 347617014.

What is Channing Heavenor Creveling'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 Channing Heavenor Creveling is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.

On what date was the 1700805686 assigned to Channing Heavenor Creveling?

The Channing Heavenor Creveling was issued its 1700805686 on 2006-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Channing Heavenor Creveling, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Channing Heavenor Creveling, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-10.

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