Amy Lynn Costanza-Smith in Portland - Speech-language Pathologist
Amy Lynn Costanza-Smith - NPI 1881791655
Amy Lynn Costanza-Smith is a Speech-language Pathologist in Portland, Oregon. Amy Lynn Costanza-Smith practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Amy Lynn Costanza-Smith is 1881791655. The last update date is 2007-07-08.
Amy Lynn Costanza-Smith's current location address is 707 Sw Gaines St, Portland, Oregon. You can contact this provider via phone number 8004523563. The mailing address for Amy Lynn Costanza-Smith is 707 Sw Gaines St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Lynn Costanza-Smith |
|---|---|
| Address | 707 Sw Gaines St, Portland, Oregon |
| Phone Number | 8004523563 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CCC-SLP |
NPI Number Detail
| NPI Number | 1881791655 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 707 Sw Gaines St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972392901 |
| Phone Number | 8004523563 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 11842 |
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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 |
|---|---|---|---|
| 295491 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Amy Lynn Costanza-Smith by the Centers for Medicare & Medicaid Services?
The Amy Lynn Costanza-Smith has been assigned the NPI (National Provider Identifier) 1881791655 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Amy Lynn Costanza-Smith is located?
The Amy Lynn Costanza-Smith is situated at the following address: 707 Sw Gaines St, Portland, OR, 972392901.
What is Amy Lynn Costanza-Smith's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amy Lynn Costanza-Smith'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 Amy Lynn Costanza-Smith receive its 1881791655 assignment from the Centers for Medicare & Medicaid Services?
The Amy Lynn Costanza-Smith was assigned its 1881791655 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Amy Lynn Costanza-Smith most recently updated or revised?
The information pertaining to Amy Lynn Costanza-Smith, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1699778829
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