Ideal Intervention, Llc in Chapin - Speech-language Pathologist

Ideal Intervention, Llc - NPI 1518093632

Ideal Intervention, Llc is a Speech-language Pathologist in Chapin, South Carolina. Ideal Intervention, Llc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Ideal Intervention, Llc is 1518093632. The last update date is 2020-08-22.

Ideal Intervention, Llc's current location address is 124 Bailey Slice Rd, Chapin, South Carolina. You can contact this provider via phone number 8033602978 and fax number 8039327897. The mailing address for Ideal Intervention, Llc is 124 Bailey Slice Rd, Chapin, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ideal Intervention, Llc
Address 124 Bailey Slice Rd, Chapin, South Carolina
Phone Number 8033602978
Fax Number 8039327897
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SPEECH-LAN
Authorized Official Name Jones Slice Angela
Credentials MSP, CCC-S
Telephone Number 8033602978

NPI Number Detail

NPI Number 1518093632
Provider Enumeration Date 2007-02-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 124 Bailey Slice Rd
City Chapin
State South Carolina (SC)
Post Code 290368900
Phone Number 8033602978
Fax Number 8039327897

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 3012
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
SA0289 SC --

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FAQs about Ideal Intervention, Llc

What is the unique provider identifier assigned to Ideal Intervention, Llc?

The Ideal Intervention, Llc has been issued the NPI (National Provider Identifier) 1518093632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Ideal Intervention, Llc is physically located?

The Ideal Intervention, Llc is situated at the following address: 124 Bailey Slice Rd, Chapin, SC 290368900.

What is Ideal Intervention, Llc'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 Ideal Intervention, Llc is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.

On what date did the Ideal Intervention, Llc receive its 1518093632 assignment from the Centers for Medicare & Medicaid Services?

The Ideal Intervention, Llc was assigned its 1518093632 by the Centers for Medicare & Medicaid Services on 2007-02-25.

As of what date were the details pertaining to Ideal Intervention, Llc last refreshed?

The information related to the Ideal Intervention, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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