Susanna Gail Prim in Springfield - Speech-language Pathologist
Susanna Gail Prim - NPI 1255316212
Susanna Gail Prim is a Speech-language Pathologist in Springfield, Virginia. Susanna Gail Prim practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Susanna Gail Prim is 1255316212. The last update date is 2007-07-08.
Susanna Gail Prim's current location address is 6506 Loisdale Rd, Springfield, Virginia. You can contact this provider via phone number 7039244100 and fax number 7039220638. The mailing address for Susanna Gail Prim is 6506 Loisdale Rd, Springfield, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanna Gail Prim |
|---|---|
| Address | 6506 Loisdale Rd, Springfield, Virginia |
| Phone Number | 7039244100 |
| Fax Number | 7039220638 |
| Sole Proprietor | X |
| Credentials | MS CCC SLP |
NPI Number Detail
| NPI Number | 1255316212 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6506 Loisdale Rd |
|---|---|
| City | Springfield |
| State | Virginia (VA) |
| Post Code | 221501824 |
| Phone Number | 7039244100 |
| Fax Number | 7039220638 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2202004426 |
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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 Susanna Gail Prim's unique identification number?
The Susanna Gail Prim has been assigned the NPI (National Provider Identifier) Number 1255316212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Susanna Gail Prim's facilities are situated?
The facilities of Susanna Gail Prim are physically located at the following address: 6506 Loisdale Rd, Springfield, VA, 221501824.
What is the area of specialization for Susanna Gail Prim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susanna Gail Prim is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.
On what date did Susanna Gail Prim receive its 1255316212 assignment from the Centers for Medicare & Medicaid Services?
The Susanna Gail Prim was assigned its 1255316212 on 2005-12-13, 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 Susanna Gail Prim most recently updated or revised?
The information pertaining to Susanna Gail Prim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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