Organization Name: | INNOVATION SPEECH AND LANGUAGE THERAPY LLC |
NPI Number: | 1295090843 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNA FARRO (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 7 Forest St West Long Branch |
State: | NJ US |
Postal Code: | 077641515 |
Phone Number: | 7328225140 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2012 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00412000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |