Doctor Name: | TODD BRADLEY PEARCY |
NPI Number: | 1518211788 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SA8430 |
Business Practice Address: | 1200 South Courtenay Pkwy Merritt Island, FL - 32953 |
Business Phone Number: | 3214521233 |
Business Fax Number: | |
Mailing Address: | 2542 Glenridge Circle, MERRITT ISLAND |
State: | FL |
Postal Code: | 32953 |
Phone Number: | 3212580044 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2012 |
NPI Last Update Date: | 11/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8430 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |