Kidz Zone in Newport - Speech-language Pathologist

Kidz Zone - NPI 1154541142

Kidz Zone is a Speech-language Pathologist in Newport, Tennessee. Kidz Zone practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Kidz Zone is 1154541142. The last update date is 2008-06-18.

Kidz Zone's current location address is 466a Eastern Plaza Shopping Ctr, Newport, Tennessee. You can contact this provider via phone number 4236239997 and fax number 4236239909. The mailing address for Kidz Zone is 466a Eastern Plaza Shopping Ctr, Newport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kidz Zone
Address 466a Eastern Plaza Shopping Ctr, Newport, Tennessee
Phone Number 4236239997
Fax Number 4236239909
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SPEECH-LAN
Authorized Official Name Marshall M. Lisa
Credentials MS, CCC-SL
Telephone Number 4233187800

NPI Number Detail

NPI Number 1154541142
Provider Enumeration Date 2007-05-01
Last Updated Date 2008-06-18

Provider Mailing Address Detail

Address 466a Eastern Plaza Shopping Ctr
City Newport
State Tennessee (TN)
Post Code 378213108
Phone Number 4236239997
Fax Number 4236239909

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 1620
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
5440980 TN --

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FAQs about Kidz Zone

What is the unique 10-digit identifier code assigned to Kidz Zone by the Centers for Medicare & Medicaid Services?

The Kidz Zone has been issued the NPI (National Provider Identifier) 1154541142 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kidz Zone's facilities are situated?

The facilities of Kidz Zone are physically located at the following address: 466A Eastern Plaza Shopping Ctr, Newport, TN, 378213108.

What is the area of specialization for Kidz Zone, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kidz Zone is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.

On what date did Kidz Zone receive its 1154541142 assignment from the Centers for Medicare & Medicaid Services?

The Kidz Zone was assigned its 1154541142 on 2007-05-01, 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 Kidz Zone most recently updated or revised?

The information pertaining to Kidz Zone, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-18.

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