Pediatric Developmental Therapy in Fayetteville - Speech-language Pathologist
Pediatric Developmental Therapy - NPI 1730137779
Pediatric Developmental Therapy is a Speech-language Pathologist in Fayetteville, North Carolina. Pediatric Developmental Therapy practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Pediatric Developmental Therapy is 1730137779. The last update date is 2016-08-30.
Pediatric Developmental Therapy's current location address is Po Box 87294, Fayetteville, North Carolina. You can contact this provider via phone number 9104838331 and fax number 9104838335. The mailing address for Pediatric Developmental Therapy is Po Box 87294, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Developmental Therapy |
|---|---|
| Address | Po Box 87294, Fayetteville, North Carolina |
| Phone Number | 9104838331 |
| Fax Number | 9104838335 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Boliek Payne Haden |
| Credentials | MSCCCSLP |
| Telephone Number | 9104838331 |
NPI Number Detail
| NPI Number | 1730137779 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2016-08-30 |
Provider Mailing Address Detail
| Address | Po Box 87294 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283047294 |
| Phone Number | 9104838331 |
| Fax Number | 9104838335 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7210315 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Pediatric Developmental Therapy by the Centers for Medicare & Medicaid Services?
The Pediatric Developmental Therapy has been assigned the NPI (National Provider Identifier) 1730137779 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Pediatric Developmental Therapy?
The Pediatric Developmental Therapy is situated at Po Box 87294, in the city of Fayetteville, state of NC, with the zip code 283047294.
What is Pediatric Developmental Therapy'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 Pediatric Developmental Therapy is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
On what date did the Pediatric Developmental Therapy receive its 1730137779 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Developmental Therapy was assigned its 1730137779 by the Centers for Medicare & Medicaid Services on 2006-05-04.
When was the information regarding Pediatric Developmental Therapy most recently updated?
The details pertaining to the Pediatric Developmental Therapy, including its address, specialty, and other relevant information, were last refreshed on 2016-08-30.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH