Shelby Ann Sudholt in Springfield - Speech-language Pathologist

Shelby Ann Sudholt - NPI 1164547873

Shelby Ann Sudholt is a Speech-language Pathologist in Springfield, Missouri. Shelby Ann Sudholt practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Shelby Ann Sudholt is 1164547873. The last update date is 2020-09-09.

Shelby Ann Sudholt's current location address is 1610 E. Sunshine St., Springfield, Missouri. You can contact this provider via phone number 4177420930 and fax number 4177422586. The mailing address for Shelby Ann Sudholt is 1610 E. Sunshine St., Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelby Ann Sudholt
Address 1610 E. Sunshine St., Springfield, Missouri
Phone Number 4177420930
Fax Number 4177422586
Sole Proprietor Y
Credentials MS CCC SLP

NPI Number Detail

NPI Number 1164547873
Provider Enumeration Date 2007-03-20
Last Updated Date 2020-09-09

Provider Mailing Address Detail

Address 1610 E. Sunshine St.
City Springfield
State Missouri (MO)
Post Code 65804
Phone Number 4177420930
Fax Number 4177422586

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2005025934
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
465463404 MO --

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FAQs about Shelby Ann Sudholt

What is the Shelby Ann Sudholt's unique identification number?

The Shelby Ann Sudholt has been assigned the NPI (National Provider Identifier) Number 1164547873 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Shelby Ann Sudholt's facilities are geographically located?

The facilities of Shelby Ann Sudholt are physically situated at the following location: 1610 E. Sunshine St., Springfield, MO, 65804.

What is Shelby Ann Sudholt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shelby Ann Sudholt is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.

On what date was the 1164547873 assigned to Shelby Ann Sudholt?

The Shelby Ann Sudholt was issued its 1164547873 on 2007-03-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Shelby Ann Sudholt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Shelby Ann Sudholt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-09.

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