Organization Name: | WEST ORANGE SPEECH PATHOLOGIST, INC. |
NPI Number: | 1073788691 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA TATUM-RILEY (CEO/SLP) |
Mailing Address: | 6388 Silver Star Rd Ste 2e Orlando |
State: | FL US |
Postal Code: | 328183235 |
Phone Number: | 4072985300 |
Fax Number: | 4072960026 |
NPI Enumeration Date: | 04/24/2008 |
NPI Last Update Date: | 04/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA1245 |
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 |