Shannon Fowler in Portland - Speech-language Pathologist
Shannon Fowler - NPI 1821107806
Shannon Fowler is a Speech-language Pathologist in Portland, Maine. Shannon Fowler practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shannon Fowler is 1821107806. The last update date is 2009-10-07.
Shannon Fowler's current location address is 222 Auburn St, Portland, Maine. You can contact this provider via phone number 2077978255 and fax number 2077975560. The mailing address for Shannon Fowler is 222 Auburn St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Fowler |
|---|---|
| Address | 222 Auburn St, Portland, Maine |
| Phone Number | 2077978255 |
| Fax Number | 2077975560 |
| Sole Proprietor | N |
| Credentials | M.S., CCC- |
NPI Number Detail
| NPI Number | 1821107806 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2009-10-07 |
Provider Mailing Address Detail
| Address | 222 Auburn St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41036004 |
| Phone Number | 2077978255 |
| Fax Number | 2077975560 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SP1122 |
|
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 |
|---|---|---|---|
| 27704 | ME | ANTHEM BLUE CROSS AND BLU | |
| 255760099 | ME | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Shannon Fowler by the Centers for Medicare & Medicaid Services?
The Shannon Fowler has been issued the NPI (National Provider Identifier) 1821107806. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shannon Fowler is located?
The Shannon Fowler is situated at the following address: 222 Auburn St, Portland, ME, 41036004.
What is the area of specialization for Shannon Fowler, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon Fowler is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821107806 to Shannon Fowler?
The Shannon Fowler received its 1821107806 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information pertaining to Shannon Fowler, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannon Fowler, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-10-07.