Jesica C Pruitt in Bothell - Speech-language Pathologist
Jesica C Pruitt - NPI 1366519001
Jesica C Pruitt is a Speech-language Pathologist in Bothell, Washington. Jesica C Pruitt practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jesica C Pruitt is 1366519001. The last update date is 2008-09-12.
Jesica C Pruitt's current location address is 9818 Ne 200th St, Bothell, Washington. You can contact this provider via phone number 4259413768. The mailing address for Jesica C Pruitt is 9818 Ne 200th St, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesica C Pruitt |
|---|---|
| Address | 9818 Ne 200th St, Bothell, Washington |
| Phone Number | 4259413768 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, CCC-SL |
NPI Number Detail
| NPI Number | 1366519001 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2008-09-12 |
Provider Mailing Address Detail
| Address | 9818 Ne 200th St |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980112300 |
| Phone Number | 4259413768 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | LL00004202 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12090673 | WA | ASHA NUMBER | |
| 7411852 | WA | AETNA PROVIDER NUMBER | |
| 8461469 | WA | -- | |
| 7028319 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jesica C Pruitt by the Centers for Medicare & Medicaid Services?
The Jesica C Pruitt has been assigned the NPI (National Provider Identifier) 1366519001 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jesica C Pruitt's physical address?
The Jesica C Pruitt is physically located at 9818 Ne 200Th St, in the city of Bothell, WA, with the postal code 980112300.
What is Jesica C Pruitt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jesica C Pruitt's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
When was the Jesica C Pruitt's 1366519001 issued?
The Jesica C Pruitt's 1366519001 was issued on 2006-11-29.
When was the information pertaining to Jesica C Pruitt most recently updated or revised?
The details related to Jesica C Pruitt, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-12.
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