Susan P Ellebracht in Chesapeake - Speech-language Pathologist
Susan P Ellebracht - NPI 1063434116
Susan P Ellebracht is a Speech-language Pathologist in Chesapeake, Virginia. Susan P Ellebracht practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Susan P Ellebracht is 1063434116. The last update date is 2007-07-08.
Susan P Ellebracht's current location address is 4016 Raintree Rd, Chesapeake, Virginia. You can contact this provider via phone number 7574882864 and fax number 7574884735. The mailing address for Susan P Ellebracht is 4016 Raintree Rd, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan P Ellebracht |
|---|---|
| Address | 4016 Raintree Rd, Chesapeake, Virginia |
| Phone Number | 7574882864 |
| Fax Number | 7574884735 |
| Sole Proprietor | N |
| Credentials | MA, CCC-SL |
NPI Number Detail
| NPI Number | 1063434116 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4016 Raintree Rd |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233213700 |
| Phone Number | 7574882864 |
| Fax Number | 7574884735 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2202001537 |
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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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What is the unique 10-digit identifier code issued to Susan P Ellebracht by the Centers for Medicare & Medicaid Services?
The Susan P Ellebracht has been assigned the NPI (National Provider Identifier) 1063434116 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 address where Susan P Ellebracht is physically located?
The Susan P Ellebracht is situated at the following address: 4016 Raintree Rd, Chesapeake, VA 233213700.
What is the Susan P Ellebracht's specialty and taxonomy code?
The Susan P Ellebracht's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did Susan P Ellebracht receive its 1063434116 assignment from the Centers for Medicare & Medicaid Services?
The Susan P Ellebracht was assigned its 1063434116 on 2006-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Susan P Ellebracht's information last updated?
The Susan P Ellebracht's information was last updated on 2007-07-08.