Organization Name: | SPEECH BY THE BEACH, INC. |
NPI Number: | 1679976898 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMBER BROOKE NAGELE (OWNER, SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 3343 Meridian Way N Apt B Palm Beach Gardens |
State: | FL US |
Postal Code: | 334105031 |
Phone Number: | 5613606024 |
Fax Number: | 5618282466 |
NPI Enumeration Date: | 10/01/2014 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA11627 |
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 |