Organization Name: | CHATTERBOX PEDIATRIC THERAPY |
NPI Number: | 1700160355 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE ANN BIGWOOD (OWNER/SLP) |
Mailing Address: | 110 Pipemakers Cir Suite 115 Pooler |
State: | GA US |
Postal Code: | 313224167 |
Phone Number: | 8505916960 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2011 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |