| Organization Name: | SPEECHWORKS 4 KIDS, INC. |
| NPI Number: | 1073946786 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANNON GONZALEZ (PRESIDENT: SLP) |
| Mailing Address: | 12026 Lake Dorian Dr Bristow |
| State: | VA US |
| Postal Code: | 201366169 |
| Phone Number: | 4782134604 |
| Fax Number: | 5713798807 |
| NPI Enumeration Date: | 08/16/2013 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202006366 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |