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PROVIDENCE ACADEMY INC NPI 1972878437


NPI Information

NPI: 1972878437
Provider Name: PROVIDENCE ACADEMY, INC

Doing Business As: PROVIDENCE FOUNDATION

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1561 S ALAFAYA TRL
SUITE 200
ORLANDO, FL
ZIP 32828
Phone: (407) 382-5551
Get Directions

PROVIDENCE ACADEMY, INC is a speech language pathologist in Orlando, 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. PROVIDENCE ACADEMY, INC NPI is 1972878437. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Foundation.

The provider's business location address is:

1561 S ALAFAYA TRL
SUITE 200
ORLANDO, FL
ZIP 32828-956
Phone: (407) 382-5551
Fax: (407) 382-5637

The provider's authorized official is Alicia Naret Braccia .
The authorized official title is Foundation President and has the following contact phone number (407) 382-5551.

The enumeration date for this NPI number is 3/16/2012 and was last updated on 1/8/2013.


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
1101Y00000XCounselorNo
2103K00000XBehavior AnalystNo
3103TS0200XPsychologistSchoolNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistYes

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
1001021700MEDICAIDFLORIDA

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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