Organization Name: | YOUNG STRIDES INC |
NPI Number: | 1518396050 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NATALIE LAFFERTY (OWNER) |
Mailing Address: | 3599 W Lake Mary Blvd Ste 1b4 Lake Mary |
State: | FL US |
Postal Code: | 327463417 |
Phone Number: | 4074166963 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2013 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA10251 |
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 |