MEDICARE: WORDS MATTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency	SA3436	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043723810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORDS MATTER

Provider Business Mailing Address
First Line	:	1018 HAGLER DR
Second Line	:
City	:	NEPTUNE BEACH
State	:	FL
Zip	:	32266-3756
Country	:	US
Telephone Number	:	904-463-3152
Fax Number	:	904-249-0685

Provider Business Practice Location Address
First Line	:	1018 HAGLER DR
Second Line	:
City	:	NEPTUNE BEACH
State	:	FL
Zip	:	32266-3756
Country	:	US
Telephone Number	:	904-463-3152
Fax Number	:	904-249-0685

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MARY SUSAN KNOWLES MONTGOMERY
Credential	:	M.ED., CCC-SLP
Telephone Number	:	904-463-3152

Provider Enumeration Date	:	11/14/2017
Last Update Date	:	06/16/2018

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Directions to “WORDS MATTER ” Practice Location

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