Tidewater Therapy For Children, Pc in Chesapeake - Speech-language Pathologist
Tidewater Therapy For Children, Pc - NPI 1174549000
Tidewater Therapy For Children, Pc is a Speech-language Pathologist in Chesapeake, Virginia. Tidewater Therapy For Children, Pc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tidewater Therapy For Children, Pc is 1174549000. The last update date is 2020-08-22.
Tidewater Therapy For Children, Pc'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 Tidewater Therapy For Children, Pc is 4016 Raintree Rd, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tidewater Therapy For Children, Pc |
|---|---|
| Address | 4016 Raintree Rd, Chesapeake, Virginia |
| Phone Number | 7574882864 |
| Fax Number | 7574884735 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE/INS |
|---|---|
| Authorized Official Name | Dupree Ml Jessica |
| Credentials | BS |
| Telephone Number | 7574882864 |
NPI Number Detail
| NPI Number | 1174549000 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2020-08-22 |
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 |
|
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 |
|---|---|---|---|
| 57442 | VA | OPTIMA ST PROVIDER # | |
| 194324 | VA | ANTHEM BC & HK ST PROV # |
Post Comment/ Review Below
What is the unique identification code assigned to Tidewater Therapy For Children, Pc by the Centers for Medicare & Medicaid Services?
The Tidewater Therapy For Children, Pc has been issued the NPI (National Provider Identifier) 1174549000. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tidewater Therapy For Children, Pc's physical address?
The Tidewater Therapy For Children, Pc is physically located at 4016 Raintree Rd, in the city of Chesapeake, VA, with the postal code 233213700.
What is Tidewater Therapy For Children, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tidewater Therapy For Children, Pc is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
On what date was the 1174549000 assigned to Tidewater Therapy For Children, Pc?
The Tidewater Therapy For Children, Pc was issued its 1174549000 on 2006-07-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tidewater Therapy For Children, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tidewater Therapy For Children, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.