Organization Name: | AUTISM INTERVENTION SPECIALISTS |
NPI Number: | 1700189222 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY WINTER (C.E.O.) |
Mailing Address: | 324 Grove Street Worcester |
State: | MA US |
Postal Code: | 01605 |
Phone Number: | 8552953276 |
Fax Number: | 8182416853 |
NPI Enumeration Date: | 12/07/2010 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9482 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |