Liela Banks Johnson in Bangor - Speech-language Pathologist
Liela Banks Johnson - NPI 1770774382
Liela Banks Johnson is a Speech-language Pathologist in Bangor, Maine. Liela Banks Johnson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Liela Banks Johnson is 1770774382. The last update date is 2007-08-08.
Liela Banks Johnson's current location address is 88 Maple St, Bangor, Maine. You can contact this provider via phone number 2079455581. The mailing address for Liela Banks Johnson is 88 Maple St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Liela Banks Johnson |
|---|---|
| Address | 88 Maple St, Bangor, Maine |
| Phone Number | 2079455581 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770774382 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | 88 Maple St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44015407 |
| Phone Number | 2079455581 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SP1576 |
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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 Liela Banks Johnson by the Centers for Medicare & Medicaid Services?
The Liela Banks Johnson has been issued the NPI (National Provider Identifier) 1770774382. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Liela Banks Johnson?
The Liela Banks Johnson is situated at 88 Maple St, in the city of Bangor, state of ME, with the zip code 44015407.
What is Liela Banks Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Liela Banks Johnson is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.
On what date did Liela Banks Johnson receive its 1770774382 assignment from the Centers for Medicare & Medicaid Services?
The Liela Banks Johnson was assigned its 1770774382 on 2007-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Liela Banks Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Liela Banks Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-08.