Organization Name: | MARCIMOUTH SPEECH AND LANGUAGE SERVICES, INC. |
NPI Number: | 1871928523 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCI CHAVES (OWNER/SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 12777 Forest Hill Blvd Suite 1503 Wellington |
State: | FL US |
Postal Code: | 334144775 |
Phone Number: | 5617901864 |
Fax Number: | 5614293081 |
NPI Enumeration Date: | 09/12/2013 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7781 |
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 |