Mary Antony in Kenosha - Speech-language Pathologist
Mary Antony - NPI 1306019625
Mary Antony is a Speech-language Pathologist in Kenosha, Wisconsin. Mary Antony practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Mary Antony is 1306019625. The last update date is 2008-04-08.
Mary Antony's current location address is 1218 79th St, Kenosha, Wisconsin. You can contact this provider via phone number 2626589500 and fax number 2626589621. The mailing address for Mary Antony is 1218 79th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Antony |
|---|---|
| Address | 1218 79th St, Kenosha, Wisconsin |
| Phone Number | 2626589500 |
| Fax Number | 2626589621 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306019625 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 1218 79th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531436111 |
| Phone Number | 2626589500 |
| Fax Number | 2626589621 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 285-154 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42745100 | WI | -- |
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What is the unique identification code assigned to Mary Antony by the Centers for Medicare & Medicaid Services?
The Mary Antony has been issued the NPI (National Provider Identifier) 1306019625. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Antony is physically located?
The Mary Antony is physically situated at the following address: 1218 79Th St, Kenosha, WI, 531436111.
What is the Mary Antony's specialty and taxonomy code?
The Mary Antony's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306019625 to Mary Antony?
The Mary Antony received its 1306019625 assignment from the Centers for Medicare & Medicaid Services on 2008-04-08.
As of what date were the Mary Antony's details last updated?
The information pertaining to the Mary Antony, including its address, specialty, and other details, was most recently updated on 2008-04-08.
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