Organization Name: | SPEAKEASY FOR KIDS INC. |
NPI Number: | 1053755090 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CORAL C DU QUESNE (PRESIDENT) |
Mailing Address: | 4960 Sw 72nd Ave Suite # 305 Miami |
State: | FL US |
Postal Code: | 331555544 |
Phone Number: | 3058035018 |
Fax Number: | 3056635572 |
NPI Enumeration Date: | 04/22/2013 |
NPI Last Update Date: | 04/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8469 |
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 |