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INNOVATIVE SPEECH THERAPY GROUP NPI 1689085300


NPI Information

NPI: 1689085300
Provider Name: INNOVATIVE SPEECH THERAPY GROUP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1597 SW 194TH TER
PEMBROKE PINES, FL
ZIP 33029
Phone: (754) 234-6577
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INNOVATIVE SPEECH THERAPY GROUP is a speech language pathologist in Pembroke Pines, 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. INNOVATIVE SPEECH THERAPY GROUP NPI is 1689085300. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1597 SW 194TH TER
PEMBROKE PINES, FL
ZIP 33029-161
Phone: (754) 234-6577

The provider's authorized official is Juliet Williams .
The authorized official title is Manager and has the following contact phone number (754) 234-6577.

The enumeration date for this NPI number is 5/15/2014 and was last updated on 5/15/2014.


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 PathologistSA 9460FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001704500OTHERFLORIDAMEDICAID NUMBER

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: 11/14/2023

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