Organization Name: | BROOKS SPEECH LANGUAGE THERAPY SERVICES |
NPI Number: | 1144656042 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SYDNEY BROOKS MASON (SPEECH/LANGUAGE PATHOLOGIST) |
Mailing Address: | 1117 Tapp Rd Van Buren |
State: | AR US |
Postal Code: | 729566844 |
Phone Number: | 3215010282 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2013 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |