Jeri-Leigh M. Konicek in South Daytona - Speech-language Pathologist

Jeri-Leigh M. Konicek - NPI 1407056948

Jeri-Leigh M. Konicek is a Speech-language Pathologist in South Daytona, Florida. Jeri-Leigh M. Konicek practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jeri-Leigh M. Konicek is 1407056948. The last update date is 2007-09-14.

Jeri-Leigh M. Konicek's current location address is 127 Spinnaker Cir, South Daytona, Florida. You can contact this provider via phone number 3867610959. The mailing address for Jeri-Leigh M. Konicek is 127 Spinnaker Cir, South Daytona, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeri-Leigh M. Konicek
Address 127 Spinnaker Cir, South Daytona, Florida
Phone Number 3867610959
Fax Number
Sole Proprietor Y
Credentials M.S., CCC-

NPI Number Detail

NPI Number 1407056948
Provider Enumeration Date 2007-07-23
Last Updated Date 2007-09-14

Provider Mailing Address Detail

Address 127 Spinnaker Cir
City South Daytona
State Florida (FL)
Post Code 321198559
Phone Number 3867610959
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SA2458
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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FAQs about Jeri-Leigh M. Konicek

What is the Jeri-Leigh M. Konicek's unique identification number?

The Jeri-Leigh M. Konicek has been assigned the NPI (National Provider Identifier) Number 1407056948 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 Jeri-Leigh M. Konicek?

The Jeri-Leigh M. Konicek is situated at 127 Spinnaker Cir, in the city of South Daytona, state of FL, with the zip code 321198559.

What is the area of specialization for Jeri-Leigh M. Konicek, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeri-Leigh M. Konicek is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1407056948 to Jeri-Leigh M. Konicek?

The Jeri-Leigh M. Konicek received its 1407056948 assignment from the Centers for Medicare & Medicaid Services on 2007-07-23.

When was the Jeri-Leigh M. Konicek's information last updated?

The Jeri-Leigh M. Konicek's information was last updated on 2007-09-14.

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