Shannon Pauline Gregory in Watertown - Speech-language Pathologist
Shannon Pauline Gregory - NPI 1902006448
Shannon Pauline Gregory is a Speech-language Pathologist in Watertown, New York. Shannon Pauline Gregory practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shannon Pauline Gregory is 1902006448. The last update date is 2019-12-03.
Shannon Pauline Gregory's current location address is 124 Monroe Ave, Watertown, New York. You can contact this provider via phone number 3157772659. The mailing address for Shannon Pauline Gregory is 124 Monroe Ave, Watertown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Pauline Gregory |
|---|---|
| Address | 124 Monroe Ave, Watertown, New York |
| Phone Number | 3157772659 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1902006448 |
|---|---|
| Provider Enumeration Date | 2007-07-23 |
| Last Updated Date | 2019-12-03 |
Provider Mailing Address Detail
| Address | 124 Monroe Ave |
|---|---|
| City | Watertown |
| State | New York (NY) |
| Post Code | 136013021 |
| Phone Number | 3157772659 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 6090 |
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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 |
|---|---|---|---|
| 7412311 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shannon Pauline Gregory by the Centers for Medicare & Medicaid Services?
The Shannon Pauline Gregory has been assigned the NPI (National Provider Identifier) 1902006448 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shannon Pauline Gregory?
The Shannon Pauline Gregory is situated at 124 Monroe Ave, in the city of Watertown, state of NY, with the zip code 136013021.
What is the Shannon Pauline Gregory's specialty and taxonomy code?
The Shannon Pauline Gregory's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
When did Shannon Pauline Gregory receive its 1902006448 assignment?
The Shannon Pauline Gregory was assigned its 1902006448 on 2007-07-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Shannon Pauline Gregory last refreshed?
The information related to the Shannon Pauline Gregory, including its address, specialty, and other relevant details, was last updated on 2019-12-03.