Mary Christine Michener in Eden - Speech-language Pathologist

Mary Christine Michener - NPI 1386710069

Mary Christine Michener is a Speech-language Pathologist in Eden, Idaho. Mary Christine Michener practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mary Christine Michener is 1386710069. The last update date is 2007-07-08.

Mary Christine Michener's current location address is 1175 E 900 S, Eden, Idaho. You can contact this provider via phone number 2088255778 and fax number 2087330120. The mailing address for Mary Christine Michener is 1175 E 900 S, Eden, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Christine Michener
Address 1175 E 900 S, Eden, Idaho
Phone Number 2088255778
Fax Number 2087330120
Sole Proprietor Y
Credentials M.S. CCC S

NPI Number Detail

NPI Number 1386710069
Provider Enumeration Date 2006-11-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1175 E 900 S
City Eden
State Idaho (ID)
Post Code 833255009
Phone Number 2088255778
Fax Number 2087330120

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SLP-1400
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
10141489 ID BLUE SHIELD PROVIDER NUMB
SP656 ID BLUE CROSS PROVIDER NUMBE

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FAQs about Mary Christine Michener

What is the unique 10-digit identification code issued to Mary Christine Michener by the Centers for Medicare & Medicaid Services?

The Mary Christine Michener has been assigned the NPI (National Provider Identifier) 1386710069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Mary Christine Michener?

The Mary Christine Michener is physically situated at 1175 E 900 S, in the city of Eden, state of ID, with the postal code 833255009.

What is Mary Christine Michener's area of expertise and its corresponding taxonomy classification?

The Mary Christine Michener's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Mary Christine Michener receive its 1386710069 assignment from the Centers for Medicare & Medicaid Services?

The Mary Christine Michener was assigned its 1386710069 on 2006-11-27, 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 Mary Christine Michener's details last updated?

The information pertaining to the Mary Christine Michener, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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