Jessie Clarke in Goodyear - Speech-language Pathologist
Jessie Clarke - NPI 1508078304
Jessie Clarke is a Speech-language Pathologist in Goodyear, Arizona. Jessie Clarke practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jessie Clarke is 1508078304. The last update date is 2007-07-08.
Jessie Clarke's current location address is 10114 S 186th Ave, Goodyear, Arizona. You can contact this provider via phone number 6237722430. The mailing address for Jessie Clarke is 10114 S 186th Ave, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessie Clarke |
|---|---|
| Address | 10114 S 186th Ave, Goodyear, Arizona |
| Phone Number | 6237722430 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1508078304 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10114 S 186th Ave |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853384939 |
| Phone Number | 6237722430 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP0936 |
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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 identifier code issued to Jessie Clarke by the Centers for Medicare & Medicaid Services?
The Jessie Clarke has been assigned the NPI (National Provider Identifier) 1508078304. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jessie Clarke is geographically located?
The Jessie Clarke is physically situated at the following location: 10114 S 186Th Ave, Goodyear, AZ, 853384939.
What is the Jessie Clarke's area of specialization and corresponding taxonomy classification?
The Jessie Clarke'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 the Centers for Medicare & Medicaid Services issue the 1508078304 to Jessie Clarke?
The Jessie Clarke received its 1508078304 assignment from the Centers for Medicare & Medicaid Services on 2007-05-04.
As of what date were the Jessie Clarke's details last updated?
The information pertaining to the Jessie Clarke, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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