Joann L. Mack in Moline - Speech-language Pathologist

Joann L. Mack - NPI 1225210917

Joann L. Mack is a Speech-language Pathologist in Moline, Illinois. Joann L. Mack practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Joann L. Mack is 1225210917. The last update date is 2014-08-01.

Joann L. Mack's current location address is 2925 28th Avenue A, Moline, Illinois. You can contact this provider via phone number 3097627974. The mailing address for Joann L. Mack is 2925 28th Avenue A, Moline, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Joann L. Mack
Address 2925 28th Avenue A, Moline, Illinois
Phone Number 3097627974
Fax Number
Sole Proprietor Y
Credentials M.S., CCC-

NPI Number Detail

NPI Number 1225210917
Provider Enumeration Date 2007-12-04
Last Updated Date 2014-08-01

Provider Mailing Address Detail

Address 2925 28th Avenue A
City Moline
State Illinois (IL)
Post Code 612656924
Phone Number 3097627974
Fax Number

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 146.004703
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 Joann L. Mack

What is the Joann L. Mack's 1225210917?

The Joann L. Mack's NPI (National Provider Identifier) Number is 1225210917. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Joann L. Mack's facilities are situated?

The facilities of Joann L. Mack are physically located at the following address: 2925 28Th Avenue A, Moline, IL, 612656924.

What is the area of specialization for Joann L. Mack, and what is the corresponding taxonomy classification code for this field?

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

On what date did Joann L. Mack receive its 1225210917 assignment from the Centers for Medicare & Medicaid Services?

The Joann L. Mack was assigned its 1225210917 on 2007-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Joann L. Mack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Joann L. Mack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-01.

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