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MRS. MIRYAM BORDOW DACONCEICAO NPI 1457696825


NPI Information

NPI: 1457696825
Provider Name: MRS. MIRYAM BORDOW DACONCEICAO
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
36261 OKEFENOKEE DR
FOLKSTON, GA
ZIP 31537
Phone: (912) 496-7396
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MRS. Miryam Bordow Daconceicao is a speech language pathologist in Folkston, GA. The provider is 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Miryam Bordow Daconceicao NPI is 1457696825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

36261 OKEFENOKEE DR
FOLKSTON, GA
ZIP 31537-853
Phone: (912) 496-7396
Fax: (912) 496-2087

The enumeration date for this NPI number is 12/11/2012 and was last updated on 12/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSLP006725GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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