Organization Name: | REMEDIAL SPECIALISTS, LLC |
NPI Number: | 1902950231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH A. GOCHNOUR (DIRECTOR) |
Mailing Address: | 105 N Court St Water Valley |
State: | MS US |
Postal Code: | 389651806 |
Phone Number: | 6624730012 |
Fax Number: | 6624730013 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |