Doctor Name: | BARBARA CEO |
NPI Number: | 1194778670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SA1041 |
Business Practice Address: | 2831 Ringling Blvd 220f Sarasota, FL - 342375334 |
Business Phone Number: | 9419512400 |
Business Fax Number: | 9419512400 |
Mailing Address: | 2831 Ringling Blvd, 220f SARASOTA |
State: | FL |
Postal Code: | 342375334 |
Phone Number: | 9419512400 |
Fax Number: | 9419512400 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA1041 |
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 |