Lisa Jane Fullenkamp in Council Bluffs - Speech-language Pathologist
Lisa Jane Fullenkamp - NPI 1104082205
Lisa Jane Fullenkamp is a Speech-language Pathologist in Council Bluffs, Iowa. Lisa Jane Fullenkamp practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Lisa Jane Fullenkamp is 1104082205. The last update date is 2008-07-29.
Lisa Jane Fullenkamp's current location address is 3000 Risen Son Blvd, Council Bluffs, Iowa. You can contact this provider via phone number 7123660286 and fax number 7123660277. The mailing address for Lisa Jane Fullenkamp is 3000 Risen Son Blvd, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Jane Fullenkamp |
|---|---|
| Address | 3000 Risen Son Blvd, Council Bluffs, Iowa |
| Phone Number | 7123660286 |
| Fax Number | 7123660277 |
| Sole Proprietor | N |
| Credentials | MA, CCC-SL |
NPI Number Detail
| NPI Number | 1104082205 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 3000 Risen Son Blvd |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515031911 |
| Phone Number | 7123660286 |
| Fax Number | 7123660277 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 1568 |
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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 Lisa Jane Fullenkamp by the Centers for Medicare & Medicaid Services?
The Lisa Jane Fullenkamp has been issued the NPI (National Provider Identifier) 1104082205. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Jane Fullenkamp located?
The Lisa Jane Fullenkamp is located at 3000 Risen Son Blvd, Council Bluffs, IA 515031911.
What is Lisa Jane Fullenkamp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Jane Fullenkamp is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104082205 to Lisa Jane Fullenkamp?
The Lisa Jane Fullenkamp received its 1104082205 assignment from the Centers for Medicare & Medicaid Services on 2008-07-29.
As of what date were the Lisa Jane Fullenkamp's details last updated?
The information pertaining to the Lisa Jane Fullenkamp, including its address, specialty, and other details, was most recently updated on 2008-07-29.