Organization Name: | SUNDANCE THERAPY INC |
NPI Number: | 1831474923 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEREDITH J RITACCO (CEO) |
Mailing Address: | 147 Tower St Lake Placid |
State: | FL US |
Postal Code: | 338526836 |
Phone Number: | 8634659992 |
Fax Number: | 8634659906 |
NPI Enumeration Date: | 10/20/2011 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |