Angela Dawn Clay in Carterville - Speech-language Pathologist
Angela Dawn Clay - NPI 1902937964
Angela Dawn Clay is a Speech-language Pathologist in Carterville, Illinois. Angela Dawn Clay practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Angela Dawn Clay is 1902937964. The last update date is 2007-07-08.
Angela Dawn Clay's current location address is 1303 Mockingbird Ln, Carterville, Illinois. You can contact this provider via phone number 6189252471. The mailing address for Angela Dawn Clay is 1303 Mockingbird Ln, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Dawn Clay |
|---|---|
| Address | 1303 Mockingbird Ln, Carterville, Illinois |
| Phone Number | 6189252471 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS CCC-SLP |
NPI Number Detail
| NPI Number | 1902937964 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1303 Mockingbird Ln |
|---|---|
| City | Carterville |
| State | Illinois (IL) |
| Post Code | 629181667 |
| Phone Number | 6189252471 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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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 |
|---|---|---|---|
| 12116272 | IL | ASHA CERTIFICATION NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Angela Dawn Clay by the Centers for Medicare & Medicaid Services?
The Angela Dawn Clay has been issued the NPI (National Provider Identifier) 1902937964 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Angela Dawn Clay is located?
The Angela Dawn Clay is situated at the following address: 1303 Mockingbird Ln, Carterville, IL, 629181667.
What is the Angela Dawn Clay's specialty and taxonomy code?
The Angela Dawn Clay's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902937964 to Angela Dawn Clay?
The Centers for Medicare & Medicaid Services assigned the 1902937964 to Angela Dawn Clay on 2007-03-08.
As of what date were the details pertaining to Angela Dawn Clay last refreshed?
The information related to the Angela Dawn Clay, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC