Organization Name: | SUNSHINE SPEECH THERAPY, INC. |
NPI Number: | 1184031833 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNON VOGT (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 4885 Waterwitch Point Dr Orlando |
State: | FL US |
Postal Code: | 328067824 |
Phone Number: | 4077383660 |
Fax Number: | 4079142186 |
NPI Enumeration Date: | 07/15/2014 |
NPI Last Update Date: | 07/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5932 |
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 |