| Organization Name: | IDEAL INTERVENTION, LLC |
| NPI Number: | 1518093632 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA SLICE JONES (SPEECH-LANGUAGE PATHOLOGIST, OWNER) |
| Mailing Address: | 124 Bailey Slice Rd Chapin |
| State: | SC US |
| Postal Code: | 290368900 |
| Phone Number: | 8033602978 |
| Fax Number: | 8039327897 |
| NPI Enumeration Date: | 02/25/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| 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 |