Organization Name: | SPEECH FOR KIDS |
NPI Number: | 1922347442 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA DARICE CENOVA (OWNER/CLINICIAN) |
Mailing Address: | 6107 Sw Murray Blvd # 323 Beaverton |
State: | OR US |
Postal Code: | 970084421 |
Phone Number: | 5035018566 |
Fax Number: | |
NPI Enumeration Date: | 02/04/2013 |
NPI Last Update Date: | 02/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |