Organization Name: | ADVANCED PEDIATRIC SPEECH THERAPY, LLC |
NPI Number: | 1225391626 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH MARTINEZ BRAUN (OWNER/ MANAGER) |
Mailing Address: | 4206 W 24th Ave Ste B104 Kennewick |
State: | WA US |
Postal Code: | 993382321 |
Phone Number: | 5095213644 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |