Shelonda A Porter in Waycross - Speech-language Pathologist
Shelonda A Porter - NPI 1356414726
Shelonda A Porter is a Speech-language Pathologist in Waycross, Georgia. Shelonda A Porter practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shelonda A Porter is 1356414726. The last update date is 2007-07-09.
Shelonda A Porter's current location address is 3085 Bentwood Dr, Waycross, Georgia. You can contact this provider via phone number 9122880214 and fax number 9122831570. The mailing address for Shelonda A Porter is 3085 Bentwood Dr, Waycross, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelonda A Porter |
|---|---|
| Address | 3085 Bentwood Dr, Waycross, Georgia |
| Phone Number | 9122880214 |
| Fax Number | 9122831570 |
| Sole Proprietor | Y |
| Credentials | M.ED., CCC |
NPI Number Detail
| NPI Number | 1356414726 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3085 Bentwood Dr |
|---|---|
| City | Waycross |
| State | Georgia (GA) |
| Post Code | 315034117 |
| Phone Number | 9122880214 |
| Fax Number | 9122831570 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP005147 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12039364 | ASHA CERTIFICATION | ||
| 1364319 | GA | GSHA MEMBERSHIP | |
| 10034561 | GA | -- | |
| 305511 | GA | -- | |
| SLP005147 | GA | GA LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Shelonda A Porter by the Centers for Medicare & Medicaid Services (CMS)?
The Shelonda A Porter has been assigned the NPI (National Provider Identifier) 1356414726. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Shelonda A Porter is physically located?
The Shelonda A Porter is physically situated at the following address: 3085 Bentwood Dr, Waycross, GA, 315034117.
What is the Shelonda A Porter's area of specialization and corresponding taxonomy classification?
The Shelonda A Porter's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When did the Shelonda A Porter receive its 1356414726?
The Shelonda A Porter was issued its 1356414726 on 2006-11-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Shelonda A Porter last refreshed?
The information related to the Shelonda A Porter, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
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