BSTSA INC DBA SPECTRUM THERAPY CENTER NPI 1245796424

NPI Information

  • NPI: 1245796424
  • Provider Name: BSTSA INC DBA SPECTRUM THERAPY CENTER
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Doing Business As: SPECTRUM THERAPY CENTER
  • Address: 2346 WISTERIA DR
    SNELLVILLE, GA
    ZIP 30078
  • Phone: (770) 609-6789

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NPI Details

BSTSA INC DBA SPECTRUM THERAPY CENTER is a speech language pathologist in Snellville, GA. 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. BSTSA INC DBA SPECTRUM THERAPY CENTER NPI is 1245796424. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spectrum Therapy Center.

The provider's business location address is:

2346 WISTERIA DR
SNELLVILLE, GA
ZIP 30078
Phone: (770) 609-6789
Fax: (678) 395-4901

The provider's authorized official is Bradford Lee Tucker .
The authorized official title is President and has the following contact phone number (770) 609-6789.

The enumeration date for this NPI number is 2/13/2019 and was last updated on 7/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistYes
2261QP2000XClinic/CenterPhysical TherapyNo
3261QP2300XClinic/CenterPrimary CareNo
4261QX0100XClinic/CenterOccupational MedicineNo

What is NPI?

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This page was last updated on: 11/21/2025

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