Organization Name: | MOBILE MBS INC. |
NPI Number: | 1477887859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER JAMES FIDLER (PRESIDENT/SPEECH LANGUAGE PATHOLOGI) |
Mailing Address: | 7437 Union Mill Ct Midvale |
State: | UT US |
Postal Code: | 840472297 |
Phone Number: | 8016333104 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 10/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 74562214-0142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |