Organization Name: | SUWANNEE BEND SERVICES |
NPI Number: | 1588032270 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK MARTIN (MANAGER) |
Mailing Address: | 220 N Main St Ste 2 Chiefland |
State: | FL US |
Postal Code: | 326260870 |
Phone Number: | 3524907500 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2015 |
NPI Last Update Date: | 09/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 13604 |
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 |