Organization Name: | TOTS TO TEENS THERAPY SERVICES |
NPI Number: | 1609049477 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER DUNCAN RUCKNER (PRESIDENT) |
Mailing Address: | 5880 Moonbeam Dr Woodbridge |
State: | VA US |
Postal Code: | 221936009 |
Phone Number: | 7035071533 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2008 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |