Kendra Church Graybeal in Fleetwood - Speech-language Pathologist
Kendra Church Graybeal - NPI 1720143878
Kendra Church Graybeal is a Speech-language Pathologist in Fleetwood, North Carolina. Kendra Church Graybeal practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kendra Church Graybeal is 1720143878. The last update date is 2007-07-08.
Kendra Church Graybeal's current location address is 5624 Idlewild Rd, Fleetwood, North Carolina. You can contact this provider via phone number 3368771322 and fax number 3368771322. The mailing address for Kendra Church Graybeal is 5624 Idlewild Rd, Fleetwood, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendra Church Graybeal |
|---|---|
| Address | 5624 Idlewild Rd, Fleetwood, North Carolina |
| Phone Number | 3368771322 |
| Fax Number | 3368771322 |
| Sole Proprietor | Y |
| Credentials | MA, CCC-SL |
NPI Number Detail
| NPI Number | 1720143878 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5624 Idlewild Rd |
|---|---|
| City | Fleetwood |
| State | North Carolina (NC) |
| Post Code | 286269421 |
| Phone Number | 3368771322 |
| Fax Number | 3368771322 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 3616 |
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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 |
|---|---|---|---|
| 7401092 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kendra Church Graybeal by the Centers for Medicare & Medicaid Services?
The Kendra Church Graybeal has been assigned the NPI (National Provider Identifier) 1720143878 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kendra Church Graybeal?
The Kendra Church Graybeal is physically situated at 5624 Idlewild Rd, in the city of Fleetwood, state of NC, with the postal code 286269421.
What is Kendra Church Graybeal's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kendra Church Graybeal's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720143878 to Kendra Church Graybeal?
The Kendra Church Graybeal received its 1720143878 assignment from the Centers for Medicare & Medicaid Services on 2006-12-27.
When was the information related to Kendra Church Graybeal most recently updated or refreshed?
The details pertaining to the Kendra Church Graybeal, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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