Organization Name: | TRUE POTENTIAL EDUCATION, LLC |
NPI Number: | 1912166224 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN RENAE PHILBIN (PARTNER) |
Mailing Address: | 6903 Vista Dr West Des Moines |
State: | IA US |
Postal Code: | 502669309 |
Phone Number: | 5152188445 |
Fax Number: | 5158640024 |
NPI Enumeration Date: | 06/03/2008 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |