Organization Name: | TANDEM THERAPY SERVICES |
NPI Number: | 1215056478 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS HOLCOMB (SPEECH THERAPIST/BEHAVIOR ANALYST) |
Mailing Address: | 7261 W Charleston Blvd #101 Las Vegas |
State: | NV US |
Postal Code: | 891171636 |
Phone Number: | 7023960101 |
Fax Number: | 7022220212 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 06/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP620 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
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 |