Marlene Ann Pettiford in Columbus - Speech-language Pathologist
Marlene Ann Pettiford - NPI 1679522155
Marlene Ann Pettiford is a Speech-language Pathologist in Columbus, Indiana. Marlene Ann Pettiford practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Marlene Ann Pettiford is 1679522155. The last update date is 2007-07-08.
Marlene Ann Pettiford's current location address is 2242 Timbercrest Dr, Columbus, Indiana. You can contact this provider via phone number 8123786098 and fax number 8123786098. The mailing address for Marlene Ann Pettiford is 2242 Timbercrest Dr, Columbus, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene Ann Pettiford |
|---|---|
| Address | 2242 Timbercrest Dr, Columbus, Indiana |
| Phone Number | 8123786098 |
| Fax Number | 8123786098 |
| Sole Proprietor | X |
| Credentials | M.A., CCC- |
NPI Number Detail
| NPI Number | 1679522155 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2242 Timbercrest Dr |
|---|---|
| City | Columbus |
| State | Indiana (IN) |
| Post Code | 472034001 |
| Phone Number | 8123786098 |
| Fax Number | 8123786098 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 22003457A |
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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 identification code assigned to Marlene Ann Pettiford by the Centers for Medicare & Medicaid Services?
The Marlene Ann Pettiford has been issued the NPI (National Provider Identifier) 1679522155. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Marlene Ann Pettiford is geographically located?
The Marlene Ann Pettiford is physically situated at the following location: 2242 Timbercrest Dr, Columbus, IN, 472034001.
What is Marlene Ann Pettiford's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marlene Ann Pettiford's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Marlene Ann Pettiford receive its 1679522155 assignment from the Centers for Medicare & Medicaid Services?
The Marlene Ann Pettiford was assigned its 1679522155 by the Centers for Medicare & Medicaid Services on 2006-05-10.
As of what date were the details related to Marlene Ann Pettiford most recently updated or revised?
The information pertaining to Marlene Ann Pettiford, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN