Organization Name: | IDEAL COMMUNICATIONS |
NPI Number: | 1477718393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FELICIA KAY SPAULDING (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 7380 Spout Springs Rd 210 Flowery Branch |
State: | GA US |
Postal Code: | 305427541 |
Phone Number: | 3179383216 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2008 |
NPI Last Update Date: | 06/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22004203A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |