Lisa Hales Brogdon in Clayton - Speech-language Pathologist
Lisa Hales Brogdon - NPI 1508982307
Lisa Hales Brogdon is a Speech-language Pathologist in Clayton, North Carolina. Lisa Hales Brogdon practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa Hales Brogdon is 1508982307. The last update date is 2012-12-05.
Lisa Hales Brogdon's current location address is 135 Middlecrest Way, Clayton, North Carolina. You can contact this provider via phone number 9196309040 and fax number 9195533836. The mailing address for Lisa Hales Brogdon is 135 Middlecrest Way, Clayton, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Hales Brogdon |
|---|---|
| Address | 135 Middlecrest Way, Clayton, North Carolina |
| Phone Number | 9196309040 |
| Fax Number | 9195533836 |
| Sole Proprietor | Y |
| Credentials | MS,CCC-SLP |
NPI Number Detail
| NPI Number | 1508982307 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2012-12-05 |
Provider Mailing Address Detail
| Address | 135 Middlecrest Way |
|---|---|
| City | Clayton |
| State | North Carolina (NC) |
| Post Code | 275279143 |
| Phone Number | 9196309040 |
| Fax Number | 9195533836 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 3916 |
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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 |
|---|---|---|---|
| 10240 | NC | BCBS | |
| 7411112 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Hales Brogdon by the Centers for Medicare & Medicaid Services?
The Lisa Hales Brogdon has been assigned the NPI (National Provider Identifier) 1508982307. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lisa Hales Brogdon's facilities are situated?
The facilities of Lisa Hales Brogdon are physically located at the following address: 135 Middlecrest Way, Clayton, NC, 275279143.
What is Lisa Hales Brogdon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Hales Brogdon is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
On what date did the Lisa Hales Brogdon receive the assignment of its 1508982307 from the Centers for Medicare & Medicaid Services?
The Lisa Hales Brogdon was issued its 1508982307 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information related to Lisa Hales Brogdon most recently updated or refreshed?
The details pertaining to the Lisa Hales Brogdon, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-12-05.
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