| Organization Name: | SPENCER THERAPY GROUP, LLC |
| NPI Number: | 1093124448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GAYLE REED SPENCER (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 303 Fawnwood Dr Brandon |
| State: | MS US |
| Postal Code: | 390424005 |
| Phone Number: | 6018329684 |
| Fax Number: | 6018240182 |
| NPI Enumeration Date: | 08/11/2014 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | S3144 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| 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 |