Speech Pathology Services in Grenada - Speech-language Pathologist
Speech Pathology Services - NPI 1598947475
Speech Pathology Services is a Speech-language Pathologist in Grenada, Mississippi. Speech Pathology Services practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Speech Pathology Services is 1598947475. The last update date is 2007-12-03.
Speech Pathology Services's current location address is 1321 Sunset Drive, Grenada, Mississippi. You can contact this provider via phone number 6622260101. The mailing address for Speech Pathology Services is 1321 Sunset Drive, Grenada, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Speech Pathology Services |
|---|---|
| Address | 1321 Sunset Drive, Grenada, Mississippi |
| Phone Number | 6622260101 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Crain Laurie |
| Telephone Number | 6622260101 |
NPI Number Detail
| NPI Number | 1598947475 |
|---|---|
| Provider Enumeration Date | 2007-12-03 |
| Last Updated Date | 2007-12-03 |
Provider Mailing Address Detail
| Address | 1321 Sunset Drive |
|---|---|
| City | Grenada |
| State | Mississippi (MS) |
| Post Code | 38901 |
| Phone Number | 6622260101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SO798 |
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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 |
|---|---|---|---|
| 9016200 | MS | -- |
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What is the unique identifier code issued to Speech Pathology Services by the Centers for Medicare & Medicaid Services?
The Speech Pathology Services has been assigned the NPI (National Provider Identifier) 1598947475. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Speech Pathology Services located?
The Speech Pathology Services is located at 1321 Sunset Drive, Grenada, MS 38901.
What is Speech Pathology Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Speech Pathology Services'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 Speech Pathology Services receive its 1598947475 assignment from the Centers for Medicare & Medicaid Services?
The Speech Pathology Services was assigned its 1598947475 by the Centers for Medicare & Medicaid Services on 2007-12-03.
As of what date were the Speech Pathology Services's details last updated?
The information pertaining to the Speech Pathology Services, including its address, specialty, and other details, was most recently updated on 2007-12-03.