Organization Name: | MED SPEECH THERAPY, LLC. |
NPI Number: | 1164782397 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA M. PURDY (SLP/OWNER) |
Mailing Address: | 7145 Turner Rd Suite 101 Rockledge |
State: | FL US |
Postal Code: | 329555721 |
Phone Number: | 3212414816 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 9278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |