Organization Name: | WEE ACHIEVE THERAPY, INC. |
NPI Number: | 1750648721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTIN MARIE SMITH (OWNER, SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 11511 113th St Unit 11c Largo |
State: | FL US |
Postal Code: | 337783047 |
Phone Number: | 7276436148 |
Fax Number: | 7279543260 |
NPI Enumeration Date: | 04/16/2012 |
NPI Last Update Date: | 04/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5814 |
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 |