Organization Name: | COASTAL THERAPY SERVICES, LLC |
NPI Number: | 1144535394 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENDRA L EARWOOD (MANAGER) |
Mailing Address: | 989 Ocean Blvd Unit 10 Hampton |
State: | NH US |
Postal Code: | 038421453 |
Phone Number: | 6036012752 |
Fax Number: | 6036012752 |
NPI Enumeration Date: | 08/12/2010 |
NPI Last Update Date: | 08/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1273 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
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 |