Shannon Durick in Chaska - Speech-language Pathologist
Shannon Durick - NPI 1699979195
Shannon Durick is a Speech-language Pathologist in Chaska, Minnesota. Shannon Durick practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shannon Durick is 1699979195. The last update date is 2007-07-08.
Shannon Durick's current location address is 1661 Park Ridge Dr, Chaska, Minnesota. You can contact this provider via phone number 9524033980. The mailing address for Shannon Durick is 1661 Park Ridge Dr, Chaska, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Durick |
|---|---|
| Address | 1661 Park Ridge Dr, Chaska, Minnesota |
| Phone Number | 9524033980 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1699979195 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1661 Park Ridge Dr |
|---|---|
| City | Chaska |
| State | Minnesota (MN) |
| Post Code | 553182841 |
| Phone Number | 9524033980 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 6366 |
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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 unique 10-digit identification code issued to Shannon Durick by the Centers for Medicare & Medicaid Services?
The Shannon Durick has been assigned the NPI (National Provider Identifier) 1699979195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Shannon Durick's physical address?
The Shannon Durick is physically located at 1661 Park Ridge Dr, in the city of Chaska, MN, with the postal code 553182841.
What is Shannon Durick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon Durick is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
When was the Shannon Durick's 1699979195 issued?
The Shannon Durick's 1699979195 was issued on 2007-06-11.
As of what date were the details related to Shannon Durick most recently updated or revised?
The information pertaining to Shannon Durick, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.