| Organization Name: | SPEECH GARDEN OF BREVARD LLC |
| NPI Number: | 1568705150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN M. BLEUEL (DIRECTOR OF REHAB) |
| Mailing Address: | 1535 Cogswell St Ste C17 Rockledge |
| State: | FL US |
| Postal Code: | 329552740 |
| Phone Number: | 3216388802 |
| Fax Number: | 3216388803 |
| NPI Enumeration Date: | 04/01/2013 |
| NPI Last Update Date: | 04/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA11322 |
| 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 |