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NEURODIVERSE ABILITY SERVICES LLC NPI 1598366171


NPI Information

NPI: 1598366171
Provider Name: NEURODIVERSE ABILITY SERVICES LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
608 SW MARVIN BURNETT RD
LAKE CITY, FL
ZIP 32025
Phone: (386) 965-5197
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NEURODIVERSE ABILITY SERVICES LLC is a speech language pathologist in Lake City, 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. NEURODIVERSE ABILITY SERVICES LLC NPI is 1598366171. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

608 SW MARVIN BURNETT RD
LAKE CITY, FL
ZIP 32025-918
Phone: (386) 965-5197

The provider's authorized official is Paula Lynette Miller .
The authorized official title is President/ceo and has the following contact phone number (386) 965-5197.

The enumeration date for this NPI number is 11/2/2020 and was last updated on 4/5/2021.


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
1101Y00000XCounselorNo
2103TS0200XPsychologistSchoolNo
3224Z00000XOccupational Therapy AssistantNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistYes
6103K00000XBehavior AnalystNo
7171M00000XCase Manager/Care CoordinatorNo
8251S00000XCommunity/Behavioral HealthNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.