Vicki Jean Paek in Champlin - Speech-language Pathologist
Vicki Jean Paek - NPI 1821219049
Vicki Jean Paek is a Speech-language Pathologist in Champlin, Minnesota. Vicki Jean Paek practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Vicki Jean Paek is 1821219049. The last update date is 2007-07-08.
Vicki Jean Paek's current location address is 10903 Maryland Ave N, Champlin, Minnesota. You can contact this provider via phone number 7634248413. The mailing address for Vicki Jean Paek is 10903 Maryland Ave N, Champlin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki Jean Paek |
|---|---|
| Address | 10903 Maryland Ave N, Champlin, Minnesota |
| Phone Number | 7634248413 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1821219049 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10903 Maryland Ave N |
|---|---|
| City | Champlin |
| State | Minnesota (MN) |
| Post Code | 553163818 |
| Phone Number | 7634248413 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 7408 |
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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 Vicki Jean Paek's unique identification number?
The Vicki Jean Paek has been assigned the NPI (National Provider Identifier) Number 1821219049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Vicki Jean Paek located?
The Vicki Jean Paek is located at 10903 Maryland Ave N, Champlin, MN 553163818.
What is Vicki Jean Paek's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Vicki Jean Paek is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821219049 to Vicki Jean Paek?
The Centers for Medicare & Medicaid Services originally issued the 1821219049 to Vicki Jean Paek on 2007-05-02.
As of what date was the information pertaining to Vicki Jean Paek, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Vicki Jean Paek, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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