Organization Name: | SPEECH THERAPY FOR KIDS, LLC |
NPI Number: | 1124356605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA LONG DAVIS (OWNER) |
Mailing Address: | 501 Highway 12 W Ste A&d Starkville |
State: | MS US |
Postal Code: | 397593654 |
Phone Number: | 6625742634 |
Fax Number: | 6623385439 |
NPI Enumeration Date: | 11/23/2009 |
NPI Last Update Date: | 11/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S2545 |
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 |