Kenneth Allen Thisdale in Snellville - Speech-language Pathologist
Kenneth Allen Thisdale - NPI 1013901156
Kenneth Allen Thisdale is a Speech-language Pathologist in Snellville, Georgia. Kenneth Allen Thisdale practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kenneth Allen Thisdale is 1013901156. The last update date is 2007-07-08.
Kenneth Allen Thisdale's current location address is 948 Wood Duck Ct, Snellville, Georgia. You can contact this provider via phone number 4049647808 and fax number 7709822247. The mailing address for Kenneth Allen Thisdale is 948 Wood Duck Ct, Snellville, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Allen Thisdale |
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Address | 948 Wood Duck Ct, Snellville, Georgia |
Phone Number | 4049647808 |
Fax Number | 7709822247 |
Sole Proprietor | X |
Credentials | M.A., CCC- |
NPI Number Detail
NPI Number | 1013901156 |
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Provider Enumeration Date | 2005-09-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 948 Wood Duck Ct |
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City | Snellville |
State | Georgia (GA) |
Post Code | 300787728 |
Phone Number | 4049647808 |
Fax Number | 7709822247 |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
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Taxonomy | 235Z00000X |
Licence No | SLP003500 |
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 unique 10-digit identifier code issued to Kenneth Allen Thisdale by the Centers for Medicare & Medicaid Services?
The Kenneth Allen Thisdale has been assigned the NPI (National Provider Identifier) 1013901156 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kenneth Allen Thisdale's facilities are situated?
The facilities of Kenneth Allen Thisdale are physically located at the following address: 948 Wood Duck Ct, Snellville, GA, 300787728.
What is the Kenneth Allen Thisdale's specialty and taxonomy code?
The Kenneth Allen Thisdale's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did Kenneth Allen Thisdale receive its 1013901156 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Allen Thisdale was assigned its 1013901156 on 2005-09-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth Allen Thisdale's details last updated?
The information pertaining to the Kenneth Allen Thisdale, including its address, specialty, and other details, was most recently updated on 2007-07-08.