Premier South Rehabilitation Services, Llc in Prairieville - Speech-language Pathologist
Premier South Rehabilitation Services, Llc - NPI 1740302108
Premier South Rehabilitation Services, Llc is a Speech-language Pathologist in Prairieville, Louisiana. Premier South Rehabilitation Services, Llc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Premier South Rehabilitation Services, Llc is 1740302108. The last update date is 2012-04-06.
Premier South Rehabilitation Services, Llc's current location address is 37459 Ultima Plaza Blvd, Prairieville, Louisiana. You can contact this provider via phone number 2256226541 and fax number 2256226541. The mailing address for Premier South Rehabilitation Services, Llc is 37459 Ultima Plaza Blvd, Prairieville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier South Rehabilitation Services, Llc |
|---|---|
| Address | 37459 Ultima Plaza Blvd, Prairieville, Louisiana |
| Phone Number | 2256226541 |
| Fax Number | 2256226541 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AGENCY ADM |
|---|---|
| Authorized Official Name | Stevenson Michelle Dedra |
| Credentials | M. ED., CC |
| Telephone Number | 2256226541 |
NPI Number Detail
| NPI Number | 1740302108 |
|---|---|
| Provider Enumeration Date | 2007-04-05 |
| Last Updated Date | 2012-04-06 |
Provider Mailing Address Detail
| Address | 37459 Ultima Plaza Blvd |
|---|---|
| City | Prairieville |
| State | Louisiana (LA) |
| Post Code | 707693856 |
| Phone Number | 2256226541 |
| Fax Number | 2256226541 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 10-00820-078 |
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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 Premier South Rehabilitation Services, Llc's 1740302108?
The Premier South Rehabilitation Services, Llc's NPI (National Provider Identifier) Number is 1740302108. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Premier South Rehabilitation Services, Llc's physical address?
The Premier South Rehabilitation Services, Llc is physically located at 37459 Ultima Plaza Blvd, in the city of Prairieville, LA, with the postal code 707693856.
What is Premier South Rehabilitation Services, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Premier South Rehabilitation Services, Llc is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740302108 to Premier South Rehabilitation Services, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1740302108 to Premier South Rehabilitation Services, Llc on 2007-04-05.
When was the Premier South Rehabilitation Services, Llc's information last updated?
The Premier South Rehabilitation Services, Llc's information was last updated on 2012-04-06.