Organization Name: | SPECIALIZED SPEECH CENTER |
NPI Number: | 1821425505 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN TOMBASCO (VICE PRESIDENT) |
Mailing Address: | 3335 N University Dr Suite 5 Hollywood |
State: | FL US |
Postal Code: | 330242200 |
Phone Number: | 9544429422 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2013 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ6409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |