Mia H Lundergan in Las Vegas - Speech-language Pathologist
Mia H Lundergan - NPI 1851424196
Mia H Lundergan is a Speech-language Pathologist in Las Vegas, New Mexico. Mia H Lundergan practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mia H Lundergan is 1851424196. The last update date is 2007-07-09.
Mia H Lundergan's current location address is 901 Douglas Ave, Las Vegas, New Mexico. You can contact this provider via phone number 5054545700 and fax number 5054545702. The mailing address for Mia H Lundergan is 901 Douglas Ave, Las Vegas, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mia H Lundergan |
|---|---|
| Address | 901 Douglas Ave, Las Vegas, New Mexico |
| Phone Number | 5054545700 |
| Fax Number | 5054545702 |
| Sole Proprietor | Y |
| Credentials | MA CCC SLP |
NPI Number Detail
| NPI Number | 1851424196 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 901 Douglas Ave |
|---|---|
| City | Las Vegas |
| State | New Mexico (NM) |
| Post Code | 877013928 |
| Phone Number | 5054545700 |
| Fax Number | 5054545702 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 564 |
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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 |
|---|---|---|---|
| 235Z00000X | NM | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mia H Lundergan by the Centers for Medicare & Medicaid Services?
The Mia H Lundergan has been issued the NPI (National Provider Identifier) 1851424196. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mia H Lundergan?
The Mia H Lundergan is situated at 901 Douglas Ave, in the city of Las Vegas, state of NM, with the zip code 877013928.
What is Mia H Lundergan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mia H Lundergan is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851424196 to Mia H Lundergan?
The Mia H Lundergan received its 1851424196 assignment from the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date was the information pertaining to Mia H Lundergan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mia H Lundergan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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