Patricia S. Park in Fairfax - Speech-language Pathologist

Patricia S. Park - NPI 1164424883

Patricia S. Park is a Speech-language Pathologist in Fairfax, Virginia. Patricia S. Park practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Patricia S. Park is 1164424883. The last update date is 2010-10-23.

Patricia S. Park's current location address is 3750 Joseph Siewick Dr, Fairfax, Virginia. You can contact this provider via phone number 7033911026 and fax number 7033911027. The mailing address for Patricia S. Park is 3750 Joseph Siewick Dr, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia S. Park
Address 3750 Joseph Siewick Dr, Fairfax, Virginia
Phone Number 7033911026
Fax Number 7033911027
Sole Proprietor N
Credentials SLP

NPI Number Detail

NPI Number 1164424883
Provider Enumeration Date 2005-08-12
Last Updated Date 2010-10-23

Provider Mailing Address Detail

Address 3750 Joseph Siewick Dr
City Fairfax
State Virginia (VA)
Post Code 220331742
Phone Number 7033911026
Fax Number 7033911027

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2202-003368
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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FAQs about Patricia S. Park

What is the unique provider identifier assigned to Patricia S. Park?

The Patricia S. Park has been issued the NPI (National Provider Identifier) 1164424883 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Patricia S. Park's facilities are situated?

The facilities of Patricia S. Park are physically located at the following address: 3750 Joseph Siewick Dr, Fairfax, VA, 220331742.

What is Patricia S. Park's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patricia S. Park's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.

On what date was the 1164424883 assigned to Patricia S. Park?

The Patricia S. Park was issued its 1164424883 on 2005-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Patricia S. Park last refreshed?

The information related to the Patricia S. Park, including its address, specialty, and other relevant details, was last updated on 2010-10-23.

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