Jackie Lynn Mathiesen in Avondale - Speech-language Pathologist
Jackie Lynn Mathiesen - NPI 1952441602
Jackie Lynn Mathiesen is a Speech-language Pathologist in Avondale, Arizona. Jackie Lynn Mathiesen practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jackie Lynn Mathiesen is 1952441602. The last update date is 2007-07-08.
Jackie Lynn Mathiesen's current location address is 12409 W Indian School Rd Ste C306, Avondale, Arizona. You can contact this provider via phone number 6239356040. The mailing address for Jackie Lynn Mathiesen is 12409 W Indian School Rd Ste C306, Avondale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Lynn Mathiesen |
|---|---|
| Address | 12409 W Indian School Rd Ste C306, Avondale, Arizona |
| Phone Number | 6239356040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S. CCC-S |
NPI Number Detail
| NPI Number | 1952441602 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12409 W Indian School Rd Ste C306 |
|---|---|
| City | Avondale |
| State | Arizona (AZ) |
| Post Code | 853239508 |
| Phone Number | 6239356040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP4480 |
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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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Post Comment/ Review Below
What is the Jackie Lynn Mathiesen's 1952441602?
The Jackie Lynn Mathiesen's NPI (National Provider Identifier) Number is 1952441602. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jackie Lynn Mathiesen is located?
The Jackie Lynn Mathiesen is situated at the following address: 12409 W Indian School Rd Ste C306, Avondale, AZ, 853239508.
What is Jackie Lynn Mathiesen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackie Lynn Mathiesen's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date was the 1952441602 assigned to Jackie Lynn Mathiesen?
The Jackie Lynn Mathiesen was issued its 1952441602 on 2007-02-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jackie Lynn Mathiesen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jackie Lynn Mathiesen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC