Kennelly Speech-Language Pathology in Fargo - Speech-language Pathologist
Kennelly Speech-Language Pathology - NPI 1154370187
Kennelly Speech-Language Pathology is a Speech-language Pathologist in Fargo, North Dakota. Kennelly Speech-Language Pathology practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kennelly Speech-Language Pathology is 1154370187. The last update date is 2021-05-17.
Kennelly Speech-Language Pathology's current location address is 4450 31st Ave S, Fargo, North Dakota. You can contact this provider via phone number 7013645433 and fax number 7013645431. The mailing address for Kennelly Speech-Language Pathology is 4450 31st Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kennelly Speech-Language Pathology |
|---|---|
| Address | 4450 31st Ave S, Fargo, North Dakota |
| Phone Number | 7013645433 |
| Fax Number | 7013645431 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kennelly S. Nanette |
| Credentials | MS, CCC-SL |
| Telephone Number | 7013645433 |
NPI Number Detail
| NPI Number | 1154370187 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2021-05-17 |
Provider Mailing Address Detail
| Address | 4450 31st Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 58104 |
| Phone Number | 7013645433 |
| Fax Number | 7013645431 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 664 |
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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 |
|---|---|---|---|
| 50906 | ND | -- |
Post Comment/ Review Below
What is the Kennelly Speech-Language Pathology's 1154370187?
The Kennelly Speech-Language Pathology's NPI (National Provider Identifier) Number is 1154370187. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kennelly Speech-Language Pathology is physically located?
The Kennelly Speech-Language Pathology is physically situated at the following address: 4450 31St Ave S, Fargo, ND, 58104.
What is Kennelly Speech-Language Pathology's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kennelly Speech-Language Pathology is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did Kennelly Speech-Language Pathology receive its 1154370187 assignment from the Centers for Medicare & Medicaid Services?
The Kennelly Speech-Language Pathology was assigned its 1154370187 on 2006-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kennelly Speech-Language Pathology, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kennelly Speech-Language Pathology, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-05-17.