Organization Name: | COMMUNICATION BUILDERS THERAPEUTIC SERVICES, LLC |
NPI Number: | 1699026997 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLISA SANDIDGE (OWNER) |
Mailing Address: | 3507 Dixon St Temple Hills |
State: | MD US |
Postal Code: | 207484214 |
Phone Number: | 3014859302 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2012 |
NPI Last Update Date: | 04/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |