Organization Name: | SPEECH THERAPLAY, LLC |
NPI Number: | 1851717300 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGEL FERGUSON (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 2092 Scenic Hwy N Suiyte 109 Snellville |
State: | GA US |
Postal Code: | 300786188 |
Phone Number: | 8667707294 |
Fax Number: | 8667707294 |
NPI Enumeration Date: | 03/07/2014 |
NPI Last Update Date: | 07/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP006184 |
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 |