Organization Name: | ABC SPEECH THERAPY |
NPI Number: | 1053709204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN COLE ROGERS (SPEECH LANGAUGE PATHOLOGIST/OWNER) |
Mailing Address: | 19319 7th Ave Ne Ste 104 Poulsbo |
State: | WA US |
Postal Code: | 983707442 |
Phone Number: | 3608306757 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2014 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 60110522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |