Organization Name: | FLORIDA NEUROCOGNITIVE DEVELOPMENT CENTER |
NPI Number: | 1013295450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE ABBY KOCH (PRESIDENT) |
Mailing Address: | 3815 Maryweather Ln Suite 101 Wesley Chapel |
State: | FL US |
Postal Code: | 335447792 |
Phone Number: | 8133991625 |
Fax Number: | 8138738837 |
NPI Enumeration Date: | 08/03/2011 |
NPI Last Update Date: | 08/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA3850 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |