Organization Name: | ASSOCIATES IN SPEECH-LANGUAGE PATHOLOGY, LLC |
NPI Number: | 1013277318 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE A WELLS (OWNER) |
Mailing Address: | 2226 Sarno Rd #101 Melbourne |
State: | FL US |
Postal Code: | 329353087 |
Phone Number: | 3212414816 |
Fax Number: | 3212414817 |
NPI Enumeration Date: | 05/21/2012 |
NPI Last Update Date: | 12/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA10305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |