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ATLANTIC SPEECH THERAPY NPI 1568614642


NPI Information

NPI: 1568614642
Provider Name: ATLANTIC SPEECH THERAPY
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
11512 LAKE MEAD AVE.
SUITE 604
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 652-5408
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ATLANTIC SPEECH THERAPY is a speech language pathologist in Jacksonville, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. ATLANTIC SPEECH THERAPY NPI is 1568614642. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11512 LAKE MEAD AVE.
SUITE 604
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 652-5408
Fax: (877) 652-5052

The provider's authorized official is Jessica Otto .
The authorized official title is Owner/director and has the following contact phone number (904) 652-5408.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 3/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSA9598FLORIDANo
2235Z00000XSpeech-Language PathologistSA5968FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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