Shannon M Theis in Madison - Speech-language Pathologist
Shannon M Theis - NPI 1689639346
Shannon M Theis is a Speech-language Pathologist in Madison, Wisconsin. Shannon M Theis practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shannon M Theis is 1689639346. The last update date is 2016-01-12.
Shannon M Theis's current location address is 600 Highland Ave, Madison, Wisconsin. You can contact this provider via phone number 6082637502 and fax number 6082636199. The mailing address for Shannon M Theis is 600 Highland Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon M Theis |
|---|---|
| Address | 600 Highland Ave, Madison, Wisconsin |
| Phone Number | 6082637502 |
| Fax Number | 6082636199 |
| Sole Proprietor | N |
| Credentials | PHD, CCC-S |
NPI Number Detail
| NPI Number | 1689639346 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2016-01-12 |
Provider Mailing Address Detail
| Address | 600 Highland Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53792 |
| Phone Number | 6082637502 |
| Fax Number | 6082636199 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2353 |
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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 identification code assigned to Shannon M Theis by the Centers for Medicare & Medicaid Services?
The Shannon M Theis has been issued the NPI (National Provider Identifier) 1689639346. 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 physical location address of Shannon M Theis?
The Shannon M Theis is physically situated at 600 Highland Ave, in the city of Madison, state of WI, with the postal code 53792.
What is the Shannon M Theis's area of specialization and corresponding taxonomy classification?
The Shannon M Theis's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did Shannon M Theis receive its 1689639346 assignment from the Centers for Medicare & Medicaid Services?
The Shannon M Theis was assigned its 1689639346 on 2006-04-18, 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 pertaining to Shannon M Theis last refreshed?
The information related to the Shannon M Theis, including its address, specialty, and other relevant details, was last updated on 2016-01-12.