Jack D. Avery in Minneapolis - Speech-language Pathologist
Jack D. Avery - NPI 1306930086
Jack D. Avery is a Speech-language Pathologist in Minneapolis, Minnesota. Jack D. Avery practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jack D. Avery is 1306930086. The last update date is 2007-07-08.
Jack D. Avery's current location address is Minneapolis Vamc, Minneapolis, Minnesota. You can contact this provider via phone number 6124675289 and fax number 6124672144. The mailing address for Jack D. Avery is Minneapolis Vamc, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack D. Avery |
|---|---|
| Address | Minneapolis Vamc, Minneapolis, Minnesota |
| Phone Number | 6124675289 |
| Fax Number | 6124672144 |
| Sole Proprietor | N |
| Credentials | CCC/SLP |
NPI Number Detail
| NPI Number | 1306930086 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Minneapolis Vamc |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55417 |
| Phone Number | 6124675289 |
| Fax Number | 6124672144 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 5938 |
|
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 |
|---|---|---|---|
| 5938 | MN | SPEECH PATHOLOGY LICENSE | |
| 1103833 | MN | ASHA I.D. NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack D. Avery by the Centers for Medicare & Medicaid Services?
The Jack D. Avery has been assigned the NPI (National Provider Identifier) 1306930086 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jack D. Avery?
The Jack D. Avery is physically situated at Minneapolis Vamc, in the city of Minneapolis, state of MN, with the postal code 55417.
What is Jack D. Avery's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack D. Avery'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 Jack D. Avery receive its 1306930086 assignment from the Centers for Medicare & Medicaid Services?
The Jack D. Avery was assigned its 1306930086 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details pertaining to Jack D. Avery last refreshed?
The information related to the Jack D. Avery, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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