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PEDIATRIC SALT CLINIC LLC NPI 1922693613


NPI Information

NPI: 1922693613
Provider Name: PEDIATRIC SALT CLINIC, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 11D1069613

Address:
915 BOXWOOD DR
SAVANNAH, GA
ZIP 31410
Phone: (478) 697-0459
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PEDIATRIC SALT CLINIC, LLC is a speech language pathologist in Savannah, 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. PEDIATRIC SALT CLINIC, LLC NPI is 1922693613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

915 BOXWOOD DR
SAVANNAH, GA
ZIP 31410-829
Phone: (478) 697-0459

The provider's authorized official is Sally Mathews .
The authorized official title is Owner/speech-language Pathologist and has the following contact phone number (478) 697-0459.

The CLIA number assigned to this NPI record is 11D1069613 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/4/2021 and was last updated on 3/4/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistYes

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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