Tina Catherine Friend in Manchester - Speech-language Pathologist

Tina Catherine Friend - NPI 1053315895

Tina Catherine Friend is a Speech-language Pathologist in Manchester, Georgia. Tina Catherine Friend practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tina Catherine Friend is 1053315895. The last update date is 2007-07-09.

Tina Catherine Friend's current location address is 55 Roberta Rd, Manchester, Georgia. You can contact this provider via phone number 7065755396 and fax number 7068469238. The mailing address for Tina Catherine Friend is 55 Roberta Rd, Manchester, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina Catherine Friend
Address 55 Roberta Rd, Manchester, Georgia
Phone Number 7065755396
Fax Number 7068469238
Sole Proprietor Y
Credentials MCD CCC-SL

NPI Number Detail

NPI Number 1053315895
Provider Enumeration Date 2005-06-09
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 55 Roberta Rd
City Manchester
State Georgia (GA)
Post Code 3181665010
Phone Number 7065755396
Fax Number 7068469238

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SLP005499
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
341976 GA WELLCARE CMO #

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FAQs about Tina Catherine Friend

What is the unique provider identifier assigned to Tina Catherine Friend?

The Tina Catherine Friend has been issued the NPI (National Provider Identifier) 1053315895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Tina Catherine Friend's facilities are geographically located?

The facilities of Tina Catherine Friend are physically situated at the following location: 55 Roberta Rd, Manchester, GA, 3181665010.

What is Tina Catherine Friend's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tina Catherine Friend is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1053315895 to Tina Catherine Friend?

The Tina Catherine Friend received its 1053315895 assignment from the Centers for Medicare & Medicaid Services on 2005-06-09.

As of what date was the information pertaining to Tina Catherine Friend, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tina Catherine Friend, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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