Kathy Bussa Spath in Petersburg - Speech-language Pathologist

Kathy Bussa Spath - NPI 1104040385

Kathy Bussa Spath is a Speech-language Pathologist in Petersburg, Illinois. Kathy Bussa Spath practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kathy Bussa Spath is 1104040385. The last update date is 2007-07-08.

Kathy Bussa Spath's current location address is 493 Juniper Drive, Petersburg, Illinois. You can contact this provider via phone number 2178990599. The mailing address for Kathy Bussa Spath is 493 Juniper Drive, Petersburg, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathy Bussa Spath
Address 493 Juniper Drive, Petersburg, Illinois
Phone Number 2178990599
Fax Number
Sole Proprietor N
Credentials MS MASTERS

NPI Number Detail

NPI Number 1104040385
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 493 Juniper Drive
City Petersburg
State Illinois (IL)
Post Code 62675
Phone Number 2178990599
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 Kathy Bussa Spath

What is the Kathy Bussa Spath's 1104040385?

The Kathy Bussa Spath's NPI (National Provider Identifier) Number is 1104040385. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kathy Bussa Spath's facilities are geographically located?

The facilities of Kathy Bussa Spath are physically situated at the following location: 493 Juniper Drive, Petersburg, IL, 62675.

What is Kathy Bussa Spath's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kathy Bussa Spath's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104040385 to Kathy Bussa Spath?

The Kathy Bussa Spath received its 1104040385 assignment from the Centers for Medicare & Medicaid Services on 2007-04-12.

As of what date was the information regarding Kathy Bussa Spath, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kathy Bussa Spath, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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