Mondra Rose Fazely in Baton Rouge - Speech-language Pathologist
Mondra Rose Fazely - NPI 1316016181
Mondra Rose Fazely is a Speech-language Pathologist in Baton Rouge, Louisiana. Mondra Rose Fazely practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mondra Rose Fazely is 1316016181. The last update date is 2007-07-08.
Mondra Rose Fazely's current location address is 8676 Goodwood Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2259231140 and fax number 2259231326. The mailing address for Mondra Rose Fazely is 8676 Goodwood Blvd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mondra Rose Fazely |
|---|---|
| Address | 8676 Goodwood Blvd, Baton Rouge, Louisiana |
| Phone Number | 2259231140 |
| Fax Number | 2259231326 |
| Sole Proprietor | Y |
| Credentials | M.A., CCC- |
NPI Number Detail
| NPI Number | 1316016181 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8676 Goodwood Blvd |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708067914 |
| Phone Number | 2259231140 |
| Fax Number | 2259231326 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2002 |
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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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Post Comment/ Review Below
What is the Mondra Rose Fazely's unique identification number?
The Mondra Rose Fazely has been assigned the NPI (National Provider Identifier) Number 1316016181 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mondra Rose Fazely is geographically located?
The Mondra Rose Fazely is physically situated at the following location: 8676 Goodwood Blvd, Baton Rouge, LA, 708067914.
What is Mondra Rose Fazely's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mondra Rose Fazely is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316016181 to Mondra Rose Fazely?
The Centers for Medicare & Medicaid Services assigned the 1316016181 to Mondra Rose Fazely on 2006-11-07.
When was the information regarding Mondra Rose Fazely most recently updated?
The details pertaining to the Mondra Rose Fazely, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.