Organization Name: | THERAPY INNOVATIONS, INC |
NPI Number: | 1275633588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY MARIE BLACKSTOCK (VICE PRESIDENT) |
Mailing Address: | 108 Commerce Ave Cleveland |
State: | MS US |
Postal Code: | 387322736 |
Phone Number: | 6628432339 |
Fax Number: | 6628461397 |
NPI Enumeration Date: | 09/25/2006 |
NPI Last Update Date: | 10/13/2009 |
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 |