Kelley Suzanne Bumgardaner in Fredericktown - Speech-language Pathologist
Kelley Suzanne Bumgardaner - NPI 1720154248
Kelley Suzanne Bumgardaner is a Speech-language Pathologist in Fredericktown, Missouri. Kelley Suzanne Bumgardaner practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kelley Suzanne Bumgardaner is 1720154248. The last update date is 2007-07-08.
Kelley Suzanne Bumgardaner's current location address is Po Box 625, Fredericktown, Missouri. You can contact this provider via phone number 5737837043 and fax number 5734310251. The mailing address for Kelley Suzanne Bumgardaner is Po Box 625, Fredericktown, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Suzanne Bumgardaner |
|---|---|
| Address | Po Box 625, Fredericktown, Missouri |
| Phone Number | 5737837043 |
| Fax Number | 5734310251 |
| Sole Proprietor | Y |
| Credentials | MA, CCC-SL |
NPI Number Detail
| NPI Number | 1720154248 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 625 |
|---|---|
| City | Fredericktown |
| State | Missouri (MO) |
| Post Code | 636450625 |
| Phone Number | 5737837043 |
| Fax Number | 5734310251 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | MO01965 |
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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 identification code assigned to Kelley Suzanne Bumgardaner by the Centers for Medicare & Medicaid Services?
The Kelley Suzanne Bumgardaner has been issued the NPI (National Provider Identifier) 1720154248. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kelley Suzanne Bumgardaner is physically located?
The Kelley Suzanne Bumgardaner is physically situated at the following address: Po Box 625, Fredericktown, MO, 636450625.
What is the Kelley Suzanne Bumgardaner's specialty and taxonomy code?
The Kelley Suzanne Bumgardaner's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Kelley Suzanne Bumgardaner receive the assignment of its 1720154248 from the Centers for Medicare & Medicaid Services?
The Kelley Suzanne Bumgardaner was issued its 1720154248 by the Centers for Medicare & Medicaid Services on 2006-11-27.
As of what date was the information regarding Kelley Suzanne Bumgardaner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelley Suzanne Bumgardaner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.