Organization Name: | KID'S SPOT, LLC |
NPI Number: | 1073810677 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCES WHONIC WILLIAMS (SPEECH LANGUAGE PATHOLOGIST/OWNER) |
Mailing Address: | 236 Zigman Whonic Rd Lyons |
State: | GA US |
Postal Code: | 304365143 |
Phone Number: | 9122936898 |
Fax Number: | 8663221274 |
NPI Enumeration Date: | 02/16/2011 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0700X |
License Number: | SLP004876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Hearing and Speech |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |