Maribeth Detmer in Breese - Speech-language Pathologist

Maribeth Detmer - NPI 1124156716

Maribeth Detmer is a Speech-language Pathologist in Breese, Illinois. Maribeth Detmer practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Maribeth Detmer is 1124156716. The last update date is 2007-07-08.

Maribeth Detmer's current location address is 1665 N 4th St, Breese, Illinois. You can contact this provider via phone number 6185268830. The mailing address for Maribeth Detmer is 1665 N 4th St, Breese, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Maribeth Detmer
Address 1665 N 4th St, Breese, Illinois
Phone Number 6185268830
Fax Number
Sole Proprietor N
Credentials SLP

NPI Number Detail

NPI Number 1124156716
Provider Enumeration Date 2007-03-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1665 N 4th St
City Breese
State Illinois (IL)
Post Code 622301791
Phone Number 6185268830
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
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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FAQs about Maribeth Detmer

What is the unique provider identifier assigned to Maribeth Detmer?

The Maribeth Detmer has been issued the NPI (National Provider Identifier) 1124156716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Maribeth Detmer is physically located?

The Maribeth Detmer is situated at the following address: 1665 N 4Th St, Breese, IL 622301791.

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

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

On what date did the Maribeth Detmer receive the assignment of its 1124156716 from the Centers for Medicare & Medicaid Services?

The Maribeth Detmer was issued its 1124156716 by the Centers for Medicare & Medicaid Services on 2007-03-02.

When was the information related to Maribeth Detmer most recently updated or refreshed?

The details pertaining to the Maribeth Detmer, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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