Heather L Pederson in Buckeye - Speech-language Pathologist
Heather L Pederson - NPI 1235346065
Heather L Pederson is a Speech-language Pathologist in Buckeye, Arizona. Heather L Pederson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Heather L Pederson is 1235346065. The last update date is 2007-07-08.
Heather L Pederson's current location address is 210 S 6th St, Buckeye, Arizona. You can contact this provider via phone number 6233864487 and fax number 6233866063. The mailing address for Heather L Pederson is 210 S 6th St, Buckeye, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather L Pederson |
|---|---|
| Address | 210 S 6th St, Buckeye, Arizona |
| Phone Number | 6233864487 |
| Fax Number | 6233866063 |
| Sole Proprietor | N |
| Credentials | CCC-SLP |
NPI Number Detail
| NPI Number | 1235346065 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 210 S 6th St |
|---|---|
| City | Buckeye |
| State | Arizona (AZ) |
| Post Code | 853262830 |
| Phone Number | 6233864487 |
| Fax Number | 6233866063 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 4778 |
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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 |
|---|---|---|---|
| 9145517 | AZ | ASHA CERTIFIED MEMBER | |
| 4778 | AZ | SLP - REGULAR LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Heather L Pederson by the Centers for Medicare & Medicaid Services?
The Heather L Pederson has been issued the NPI (National Provider Identifier) 1235346065 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Heather L Pederson is located?
The Heather L Pederson is situated at the following address: 210 S 6Th St, Buckeye, AZ, 853262830.
What is the Heather L Pederson's area of specialization and corresponding taxonomy classification?
The Heather L Pederson's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When did Heather L Pederson receive its 1235346065 assignment?
The Heather L Pederson was assigned its 1235346065 on 2007-05-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Heather L Pederson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Heather L Pederson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.