Organization Name: | SOUTH COUNTY SPEECH AND LANGUAGE CENTER |
NPI Number: | 1063545796 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH C CONNORS (PRESIDENT) |
Mailing Address: | 420 Scrabbletown Rd Suite H North Kingstown |
State: | RI US |
Postal Code: | 028523638 |
Phone Number: | 4012955995 |
Fax Number: | 4012958700 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP00269 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
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 |