Organization Name: | ADVANCED SPEECH & REHAB SERVICES, LLC |
NPI Number: | 1922440072 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCES E GAINES (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 15511 Campden St Winter Garden |
State: | FL US |
Postal Code: | 347875573 |
Phone Number: | 4077328136 |
Fax Number: | 4073959101 |
NPI Enumeration Date: | 07/17/2013 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA13027 |
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 |