Tasha Joy Malvitz in Green Bay - Speech-language Pathologist
Tasha Joy Malvitz - NPI 1255526455
Tasha Joy Malvitz is a Speech-language Pathologist in Green Bay, Wisconsin. Tasha Joy Malvitz practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tasha Joy Malvitz is 1255526455. The last update date is 2007-09-11.
Tasha Joy Malvitz's current location address is 1673 Dousman Street, Green Bay, Wisconsin. You can contact this provider via phone number 9205934382. The mailing address for Tasha Joy Malvitz is 1673 Dousman Street, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tasha Joy Malvitz |
|---|---|
| Address | 1673 Dousman Street, Green Bay, Wisconsin |
| Phone Number | 9205934382 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA/CCC-SLP |
NPI Number Detail
| NPI Number | 1255526455 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 1673 Dousman Street |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543072770 |
| Phone Number | 9205934382 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2613-154 |
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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 identification code issued to Tasha Joy Malvitz by the Centers for Medicare & Medicaid Services?
The Tasha Joy Malvitz has been assigned the NPI (National Provider Identifier) 1255526455 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Tasha Joy Malvitz is physically located?
The Tasha Joy Malvitz is situated at the following address: 1673 Dousman Street, Green Bay, WI 543072770.
What is Tasha Joy Malvitz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tasha Joy Malvitz's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date did the Tasha Joy Malvitz receive its 1255526455 assignment from the Centers for Medicare & Medicaid Services?
The Tasha Joy Malvitz was assigned its 1255526455 by the Centers for Medicare & Medicaid Services on 2007-09-11.
As of what date were the details related to Tasha Joy Malvitz most recently updated or revised?
The information pertaining to Tasha Joy Malvitz, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-11.
NPI Number: 1215930573
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