Dora Provencio in Fresno - Speech-language Pathologist
Dora Provencio - NPI 1306055447
Dora Provencio is a Speech-language Pathologist in Fresno, California. Dora Provencio practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Dora Provencio is 1306055447. The last update date is 2007-07-08.
Dora Provencio's current location address is 7300 N Fresno St, Fresno, California. You can contact this provider via phone number 5594483612. The mailing address for Dora Provencio is 7300 N Fresno St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dora Provencio |
|---|---|
| Address | 7300 N Fresno St, Fresno, California |
| Phone Number | 5594483612 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306055447 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7300 N Fresno St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937202941 |
| Phone Number | 5594483612 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 8793 |
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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 Dora Provencio's unique identification number?
The Dora Provencio has been assigned the NPI (National Provider Identifier) Number 1306055447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dora Provencio is located?
The Dora Provencio is situated at the following address: 7300 N Fresno St, Fresno, CA, 937202941.
What is Dora Provencio's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dora Provencio is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.
When did Dora Provencio receive its 1306055447 assignment?
The Dora Provencio was assigned its 1306055447 on 2007-05-22, which is the date when this unique identifier was issued to the organization.
When was the Dora Provencio's information last updated?
The Dora Provencio's information was last updated on 2007-07-08.
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