Amy Beth Pederson in Rockford - Speech-language Pathologist
Amy Beth Pederson - NPI 1083745244
Amy Beth Pederson is a Speech-language Pathologist in Rockford, Minnesota. Amy Beth Pederson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Amy Beth Pederson is 1083745244. The last update date is 2009-04-01.
Amy Beth Pederson's current location address is Po Box 266, Rockford, Minnesota. You can contact this provider via phone number 6129618310. The mailing address for Amy Beth Pederson is Po Box 266, Rockford, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Beth Pederson |
|---|---|
| Address | Po Box 266, Rockford, Minnesota |
| Phone Number | 6129618310 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A., CCC- |
NPI Number Detail
| NPI Number | 1083745244 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2009-04-01 |
Provider Mailing Address Detail
| Address | Po Box 266 |
|---|---|
| City | Rockford |
| State | Minnesota (MN) |
| Post Code | 553730266 |
| Phone Number | 6129618310 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 7434 |
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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 |
|---|---|---|---|
| 4601172 | MEDICA PROVIDER NUMBER | ||
| 146T2PE | MN | BCBS PARTICIPAT. PROVID.# | |
| 5727164 | MN | MINNESOTA TAX ID # |
Post Comment/ Review Below
What is the Amy Beth Pederson's unique identification number?
The Amy Beth Pederson has been assigned the NPI (National Provider Identifier) Number 1083745244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Amy Beth Pederson's facilities are situated?
The facilities of Amy Beth Pederson are physically located at the following address: Po Box 266, Rockford, MN, 553730266.
What is Amy Beth Pederson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amy Beth Pederson's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083745244 to Amy Beth Pederson?
The Centers for Medicare & Medicaid Services assigned the 1083745244 to Amy Beth Pederson on 2007-03-08.
As of what date were the details pertaining to Amy Beth Pederson last refreshed?
The information related to the Amy Beth Pederson, including its address, specialty, and other relevant details, was last updated on 2009-04-01.