Tracy Model in Saint Louis - Speech-language Pathologist
Tracy Model - NPI 1629235940
Tracy Model is a Speech-language Pathologist in Saint Louis, Missouri. Tracy Model practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tracy Model is 1629235940. The last update date is 2008-05-22.
Tracy Model's current location address is 12110 Clayton Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149898150. The mailing address for Tracy Model is 12110 Clayton Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Model |
|---|---|
| Address | 12110 Clayton Rd, Saint Louis, Missouri |
| Phone Number | 3149898150 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629235940 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 12110 Clayton Rd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631312516 |
| Phone Number | 3149898150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 112269 |
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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 identifier code issued to Tracy Model by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy Model has been assigned the NPI (National Provider Identifier) 1629235940. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Tracy Model located?
The Tracy Model is located at 12110 Clayton Rd, Saint Louis, MO 631312516.
What is the Tracy Model's area of specialization and corresponding taxonomy classification?
The Tracy Model's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1629235940 to Tracy Model?
The Tracy Model received its 1629235940 assignment from the Centers for Medicare & Medicaid Services on 2008-05-22.
As of what date was the information regarding Tracy Model, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy Model, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-22.
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