Kelley Marie Edelbrock in Granger - Speech-language Pathologist
Kelley Marie Edelbrock - NPI 1801005830
Kelley Marie Edelbrock is a Speech-language Pathologist in Granger, Indiana. Kelley Marie Edelbrock practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelley Marie Edelbrock is 1801005830. The last update date is 2007-07-08.
Kelley Marie Edelbrock's current location address is 14700 Horseshoe Bend Ct, Granger, Indiana. You can contact this provider via phone number 5742719079. The mailing address for Kelley Marie Edelbrock is 14700 Horseshoe Bend Ct, Granger, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Marie Edelbrock |
|---|---|
| Address | 14700 Horseshoe Bend Ct, Granger, Indiana |
| Phone Number | 5742719079 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A. CCC-S |
NPI Number Detail
| NPI Number | 1801005830 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14700 Horseshoe Bend Ct |
|---|---|
| City | Granger |
| State | Indiana (IN) |
| Post Code | 465308269 |
| Phone Number | 5742719079 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 22001967A |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200655050 | IN | FIRST STEPS- | |
| 200718460 | IN | FIRST STEPS PROVIDOR # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelley Marie Edelbrock by the Centers for Medicare & Medicaid Services?
The Kelley Marie Edelbrock has been assigned the NPI (National Provider Identifier) 1801005830 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kelley Marie Edelbrock located?
The Kelley Marie Edelbrock is located at 14700 Horseshoe Bend Ct, Granger, IN 465308269.
What is Kelley Marie Edelbrock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelley Marie Edelbrock is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
When did Kelley Marie Edelbrock receive its 1801005830 assignment?
The Kelley Marie Edelbrock was assigned its 1801005830 on 2007-05-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Kelley Marie Edelbrock's details last updated?
The information pertaining to the Kelley Marie Edelbrock, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1841293032
Address: Children's Hospital Of Il 530 Ne Glen Oak Ave, Peoria, IL
NPI Number: 1467455592
Address: St. Jude Children's Research Hospital, Memphis, TN