DOMINIQUE MARIE MENDANA NPI 1033507603

NPI Information

NPI: 1033507603
Provider Name: DOMINIQUE MARIE MENDANA
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
306 N MAIN ST STE 1A1
HINESVILLE, GA
ZIP 31313
Phone: (912) 320-4573
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Dominique Marie Mendana is a speech language pathologist in Hinesville, 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. Dominique Marie Mendana NPI is 1033507603. 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:

306 N MAIN ST STE 1A1
HINESVILLE, GA
ZIP 31313-533
Phone: (912) 320-4573

The enumeration date for this NPI number is 1/5/2015 and was last updated on 6/2/2017.

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
1	235Z00000X	Speech-Language Pathologist		SZ6967	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014102100	MEDICAID	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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