Kai Jeanine Long in St. Augustine - Speech-language Pathologist

Kai Jeanine Long - NPI 1063552404

Kai Jeanine Long is a Speech-language Pathologist in St. Augustine, Florida. Kai Jeanine Long practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kai Jeanine Long is 1063552404. The last update date is 2008-05-01.

Kai Jeanine Long's current location address is 605 Twenty Second Street, St. Augustine, Florida. You can contact this provider via phone number 9048246924. The mailing address for Kai Jeanine Long is 605 Twenty Second Street, St. Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kai Jeanine Long
Address 605 Twenty Second Street, St. Augustine, Florida
Phone Number 9048246924
Fax Number
Sole Proprietor N
Credentials M.A.

NPI Number Detail

NPI Number 1063552404
Provider Enumeration Date 2007-02-07
Last Updated Date 2008-05-01

Provider Mailing Address Detail

Address 605 Twenty Second Street
City St. Augustine
State Florida (FL)
Post Code 32084
Phone Number 9048246924
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SA8605
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
891547400 FL --

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FAQs about Kai Jeanine Long

What is the Kai Jeanine Long's unique identification number?

The Kai Jeanine Long has been assigned the NPI (National Provider Identifier) Number 1063552404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Kai Jeanine Long's physical address?

The Kai Jeanine Long is physically located at 605 Twenty Second Street, in the city of St. Augustine, FL, with the postal code 32084.

What is Kai Jeanine Long's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kai Jeanine Long is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.

On what date did the Kai Jeanine Long receive its 1063552404 assignment from the Centers for Medicare & Medicaid Services?

The Kai Jeanine Long was assigned its 1063552404 by the Centers for Medicare & Medicaid Services on 2007-02-07.

As of what date was the information regarding Kai Jeanine Long, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kai Jeanine Long, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-01.

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