Organization Name: | KIDSPEAK |
NPI Number: | 1285795807 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARROLL FRANICINA WILCOX (OWNER) |
Mailing Address: | 2740 Nw 17th St Fort Lauderdale |
State: | FL US |
Postal Code: | 333114402 |
Phone Number: | 9547930148 |
Fax Number: | 9543010645 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5918 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |