Jodi L Gogos in Fort Wayne - Speech-language Pathologist
Jodi L Gogos - NPI 1548369333
Jodi L Gogos is a Speech-language Pathologist in Fort Wayne, Indiana. Jodi L Gogos practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jodi L Gogos is 1548369333. The last update date is 2010-11-04.
Jodi L Gogos's current location address is 10315 Dawsons Creek Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604503617 and fax number 2604364946. The mailing address for Jodi L Gogos is 10315 Dawsons Creek Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodi L Gogos |
|---|---|
| Address | 10315 Dawsons Creek Blvd, Fort Wayne, Indiana |
| Phone Number | 2604503617 |
| Fax Number | 2604364946 |
| Sole Proprietor | Y |
| Credentials | MSCCCSLP |
NPI Number Detail
| NPI Number | 1548369333 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2010-11-04 |
Provider Mailing Address Detail
| Address | 10315 Dawsons Creek Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468251914 |
| Phone Number | 2604503617 |
| Fax Number | 2604364946 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 22002999A |
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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 |
|---|---|---|---|
| 870763354 | IN | TAX ID |
Post Comment/ Review Below
What is the unique identifier code issued to Jodi L Gogos by the Centers for Medicare & Medicaid Services?
The Jodi L Gogos has been assigned the NPI (National Provider Identifier) 1548369333. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jodi L Gogos's facilities are geographically located?
The facilities of Jodi L Gogos are physically situated at the following location: 10315 Dawsons Creek Blvd, Fort Wayne, IN, 468251914.
What is Jodi L Gogos's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jodi L Gogos's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
When was the Jodi L Gogos's 1548369333 issued?
The Jodi L Gogos's 1548369333 was issued on 2006-09-21.
When was the information related to Jodi L Gogos most recently updated or refreshed?
The details pertaining to the Jodi L Gogos, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-11-04.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA