Mary Diane Jaeck in Tiffin - Speech-language Pathologist
Mary Diane Jaeck - NPI 1851340772
Mary Diane Jaeck is a Speech-language Pathologist in Tiffin, Ohio. Mary Diane Jaeck practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mary Diane Jaeck is 1851340772. The last update date is 2007-07-08.
Mary Diane Jaeck's current location address is 26 High Pointe Ct, Tiffin, Ohio. You can contact this provider via phone number 4194470398. The mailing address for Mary Diane Jaeck is 26 High Pointe Ct, Tiffin, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Diane Jaeck |
|---|---|
| Address | 26 High Pointe Ct, Tiffin, Ohio |
| Phone Number | 4194470398 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1851340772 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26 High Pointe Ct |
|---|---|
| City | Tiffin |
| State | Ohio (OH) |
| Post Code | 448832650 |
| Phone Number | 4194470398 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SP.1395 |
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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 |
|---|---|---|---|
| SP1395 | OH | OH LICENSE | |
| 142710 | OH | ANTHEM BLUE CROSS BLUE SH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Diane Jaeck?
The Mary Diane Jaeck has been issued the NPI (National Provider Identifier) 1851340772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mary Diane Jaeck's physical address?
The Mary Diane Jaeck is physically located at 26 High Pointe Ct, in the city of Tiffin, OH, with the postal code 448832650.
What is Mary Diane Jaeck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Diane Jaeck is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
On what date was the 1851340772 assigned to Mary Diane Jaeck?
The Mary Diane Jaeck was issued its 1851340772 on 2006-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mary Diane Jaeck last refreshed?
The information related to the Mary Diane Jaeck, including its address, specialty, and other relevant details, was last updated on 2007-07-08.