Organization Name: | SPEECH THERAPY ASSOCIATES |
NPI Number: | 1760660864 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IAN POWELL (SPEECH PATHOLOGIST) |
Mailing Address: | 12555 Sw 3rd St Beaverton |
State: | OR US |
Postal Code: | 970050517 |
Phone Number: | 5036460837 |
Fax Number: | 5036435057 |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |