Organization Name: | INNOVATIONS SPEECH THERAPY LLC |
NPI Number: | 1770910515 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG H HARTMAN (OWNER) |
Mailing Address: | 105 Cloverleaf Meadows Ct O Fallon |
State: | MO US |
Postal Code: | 633664190 |
Phone Number: | 6364851432 |
Fax Number: | 6362460302 |
NPI Enumeration Date: | 10/10/2013 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 112321 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |