| Organization Name: | SPECTRUM SPEECH AND LANGUAGE SERVICES, LLC |
| NPI Number: | 1043543226 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALISON M EVANS (OWNER) |
| Mailing Address: | 12785 W. Forest Hill Blvd Suite 8g Wellington |
| State: | FL US |
| Postal Code: | 334144777 |
| Phone Number: | 5617534998 |
| Fax Number: | 5617534911 |
| NPI Enumeration Date: | 09/06/2009 |
| NPI Last Update Date: | 01/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |