Jackie Ellyn Reifer in Portland - Speech-language Pathologist
Jackie Ellyn Reifer - NPI 1356487235
Jackie Ellyn Reifer is a Speech-language Pathologist in Portland, Maine. Jackie Ellyn Reifer practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jackie Ellyn Reifer is 1356487235. The last update date is 2007-07-08.
Jackie Ellyn Reifer's current location address is 43 Baxter Blvd, Portland, Maine. You can contact this provider via phone number 2078741065 and fax number 2078741068. The mailing address for Jackie Ellyn Reifer is 43 Baxter Blvd, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Ellyn Reifer |
|---|---|
| Address | 43 Baxter Blvd, Portland, Maine |
| Phone Number | 2078741065 |
| Fax Number | 2078741068 |
| Sole Proprietor | N |
| Credentials | MED SLPCCC |
NPI Number Detail
| NPI Number | 1356487235 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 43 Baxter Blvd |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41011823 |
| Phone Number | 2078741065 |
| Fax Number | 2078741068 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SP530 |
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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 |
|---|---|---|---|
| 2728 | ME | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jackie Ellyn Reifer by the Centers for Medicare & Medicaid Services?
The Jackie Ellyn Reifer has been assigned the NPI (National Provider Identifier) 1356487235 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jackie Ellyn Reifer's facilities are situated?
The facilities of Jackie Ellyn Reifer are physically located at the following address: 43 Baxter Blvd, Portland, ME, 41011823.
What is Jackie Ellyn Reifer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackie Ellyn Reifer's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Jackie Ellyn Reifer receive its 1356487235 assignment from the Centers for Medicare & Medicaid Services?
The Jackie Ellyn Reifer was assigned its 1356487235 by the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the information regarding Jackie Ellyn Reifer most recently updated?
The details pertaining to the Jackie Ellyn Reifer, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN