Organization Name: | GREEN APPLE THERAPY |
NPI Number: | 1235477944 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN R SHEPARD (OWNER) |
Mailing Address: | 23005 Nw 11th Rd Newberry |
State: | FL US |
Postal Code: | 326691911 |
Phone Number: | 3522565072 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2013 |
NPI Last Update Date: | 01/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA9491 |
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 |