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GULF COAST SPEECH PATHOLOGY LLC NPI 1417431461


NPI Information

NPI: 1417431461
Provider Name: GULF COAST SPEECH PATHOLOGY LLC

Doing Business As: GULF COAST THERAPY

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
928 BROADWAY ST
GALVESTON, TX
ZIP 77550
Phone: (409) 242-6500
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GULF COAST SPEECH PATHOLOGY LLC is a rehabilitation clinic center in Galveston, TX. GULF COAST SPEECH PATHOLOGY LLC NPI is 1417431461. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf Coast Therapy.

The provider's business location address is:

928 BROADWAY ST
GALVESTON, TX
ZIP 77550-228
Phone: (409) 242-6500
Fax: (409) 497-4389

The provider's authorized official is Julie Mary Bonomo .
The authorized official title is Administrator and has the following contact phone number (409) 242-6500.

The enumeration date for this NPI number is 9/17/2018 and was last updated on 9/17/2018.


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
1261QR0400XClinic/CenterRehabilitationYes

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: 5/5/2024

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