Organization Name: | THERAPY NETWORK |
NPI Number: | 1184745903 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER ROBERTSON (SPEECH PATHOLOGIST) |
Mailing Address: | 320 Sycamore St Augusta |
State: | AR US |
Postal Code: | 720062650 |
Phone Number: | 8703472432 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1871 |
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 |