Organization Name: | KIDS ABILITIES, INC |
NPI Number: | 1023296068 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER E SARGENT (CO-OWNER) |
Mailing Address: | 490 Highway 96 W Suite 300 Shoreview |
State: | MN US |
Postal Code: | 551261960 |
Phone Number: | 6514513016 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2008 |
NPI Last Update Date: | 02/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |