Provail is a Speech-language Pathologist in Seattle, Washington. Provail practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Provail is 1477760197. The last update date is 2018-06-21.
Provail's current location address is 12550 Aurora Ave N, Seattle, Washington. You can contact this provider via phone number 2063637303 and fax number 2068260181. The mailing address for Provail is 12550 Aurora Ave N, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provail |
|---|---|
| Address | 12550 Aurora Ave N, Seattle, Washington |
| Phone Number | 2063637303 |
| Fax Number | 2068260181 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hatzenbeler Michael |
| Telephone Number | 2063637303 |
NPI Number Detail
| NPI Number | 1477760197 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 12550 Aurora Ave N |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981338036 |
| Phone Number | 2063637303 |
| Fax Number | 2068260181 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SI00004391 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55-0174569 | WA | LABOR AND INDUSTRIES | |
| 7070949-8347395 | WA | -- | |
| 7681083-8464992 | WA | -- | |
| 7368087 | WA | AETNA CLINIC NUMBER | |
| 7070949-8347429 | WA | -- | |
| 7681083-8415291 | WA | -- | |
| 397572001 | WA | GROUP HEALTH PROVIDER NUM |
Post Comment/ Review Below
What is the Provail's unique identification number?
The Provail has been assigned the NPI (National Provider Identifier) Number 1477760197 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 address where Provail is geographically located?
The Provail is physically situated at the following location: 12550 Aurora Ave N, Seattle, WA, 981338036.
What is Provail's area of expertise and its corresponding taxonomy classification?
The Provail's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Provail receive the assignment of its 1477760197 from the Centers for Medicare & Medicaid Services?
The Provail was issued its 1477760197 by the Centers for Medicare & Medicaid Services on 2007-05-16.
When was the information regarding Provail most recently updated?
The details pertaining to the Provail, including its address, specialty, and other relevant information, were last refreshed on 2018-06-21.