Organization Name: | LOGOS THERAPY, LLC |
NPI Number: | 1760828883 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL RAYMOND SEMONSKY (OWNER) |
Mailing Address: | 1109 Highway 211 Ne Winder |
State: | GA US |
Postal Code: | 306803216 |
Phone Number: | 7062481281 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2013 |
NPI Last Update Date: | 05/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006821 |
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 |