Kimberly Dominick in Baton Rouge - Speech-language Pathologist
Kimberly Dominick - NPI 1013042159
Kimberly Dominick is a Speech-language Pathologist in Baton Rouge, Louisiana. Kimberly Dominick practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kimberly Dominick is 1013042159. The last update date is 2007-07-08.
Kimberly Dominick's current location address is 5536 Superior Dr Ste C, Baton Rouge, Louisiana. You can contact this provider via phone number 2252294511. The mailing address for Kimberly Dominick is 5536 Superior Dr Ste C, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Dominick |
|---|---|
| Address | 5536 Superior Dr Ste C, Baton Rouge, Louisiana |
| Phone Number | 2252294511 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1013042159 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5536 Superior Dr Ste C |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708166064 |
| Phone Number | 2252294511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 3015 |
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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 |
|---|---|---|---|
| 1319791 | LA | -- |
Post Comment/ Review Below
What is the Kimberly Dominick's unique identification number?
The Kimberly Dominick has been assigned the NPI (National Provider Identifier) Number 1013042159 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kimberly Dominick?
The Kimberly Dominick is situated at 5536 Superior Dr Ste C, in the city of Baton Rouge, state of LA, with the zip code 708166064.
What is the Kimberly Dominick's area of specialization and corresponding taxonomy classification?
The Kimberly Dominick's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013042159 to Kimberly Dominick?
The Centers for Medicare & Medicaid Services originally issued the 1013042159 to Kimberly Dominick on 2007-02-22.
As of what date was the information regarding Kimberly Dominick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly Dominick, 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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