| Organization Name: | SPEECH AND LANGUAGE ASSOCIATES |
| NPI Number: | 1194095315 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY PATRICIA STEPHAN (OWNER/DIRECTOR) |
| Mailing Address: | 4631 Nw 53rd Ave Suite 104 Gainesville |
| State: | FL US |
| Postal Code: | 326533402 |
| Phone Number: | 3523735389 |
| Fax Number: | 3523350517 |
| NPI Enumeration Date: | 01/04/2012 |
| NPI Last Update Date: | 01/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA112 |
| 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 |