Jeffry Stephen Clow in Poplar Grove - Speech-language Pathologist
Jeffry Stephen Clow - NPI 1598883670
Jeffry Stephen Clow is a Speech-language Pathologist in Poplar Grove, Illinois. Jeffry Stephen Clow practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jeffry Stephen Clow is 1598883670. The last update date is 2007-07-08.
Jeffry Stephen Clow's current location address is 492 Prairie Knoll Dr, Poplar Grove, Illinois. You can contact this provider via phone number 8155440854. The mailing address for Jeffry Stephen Clow is 492 Prairie Knoll Dr, Poplar Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffry Stephen Clow |
|---|---|
| Address | 492 Prairie Knoll Dr, Poplar Grove, Illinois |
| Phone Number | 8155440854 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | SLP |
NPI Number Detail
| NPI Number | 1598883670 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 492 Prairie Knoll Dr |
|---|---|
| City | Poplar Grove |
| State | Illinois (IL) |
| Post Code | 610657817 |
| Phone Number | 8155440854 |
| 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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What is the unique 10-digit identification code issued to Jeffry Stephen Clow by the Centers for Medicare & Medicaid Services?
The Jeffry Stephen Clow has been assigned the NPI (National Provider Identifier) 1598883670 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jeffry Stephen Clow is located?
The Jeffry Stephen Clow is situated at the following address: 492 Prairie Knoll Dr, Poplar Grove, IL, 610657817.
What is Jeffry Stephen Clow's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffry Stephen Clow is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598883670 to Jeffry Stephen Clow?
The Centers for Medicare & Medicaid Services originally issued the 1598883670 to Jeffry Stephen Clow on 2007-03-27.
As of what date was the information regarding Jeffry Stephen Clow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffry Stephen Clow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.