Stephanie Michelle Pandullo in Henderson - Speech-language Pathologist
Stephanie Michelle Pandullo - NPI 1881809465
Stephanie Michelle Pandullo is a Speech-language Pathologist in Henderson, Nevada. Stephanie Michelle Pandullo practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Stephanie Michelle Pandullo is 1881809465. The last update date is 2014-10-01.
Stephanie Michelle Pandullo's current location address is 2380 Brockton Way, Henderson, Nevada. You can contact this provider via phone number 7028605617. The mailing address for Stephanie Michelle Pandullo is 2380 Brockton Way, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Michelle Pandullo |
|---|---|
| Address | 2380 Brockton Way, Henderson, Nevada |
| Phone Number | 7028605617 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881809465 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2014-10-01 |
Provider Mailing Address Detail
| Address | 2380 Brockton Way |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890745459 |
| Phone Number | 7028605617 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SP-903 |
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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 10-digit identifier code assigned to Stephanie Michelle Pandullo by the Centers for Medicare & Medicaid Services?
The Stephanie Michelle Pandullo has been issued the NPI (National Provider Identifier) 1881809465 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stephanie Michelle Pandullo?
The Stephanie Michelle Pandullo is physically situated at 2380 Brockton Way, in the city of Henderson, state of NV, with the postal code 890745459.
What is the Stephanie Michelle Pandullo's specialty and taxonomy code?
The Stephanie Michelle Pandullo's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
When did Stephanie Michelle Pandullo receive its 1881809465 assignment?
The Stephanie Michelle Pandullo was assigned its 1881809465 on 2007-05-14, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Stephanie Michelle Pandullo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephanie Michelle Pandullo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-01.