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NPI Code Detail

MEDICARE: SOUNDSIDE THERAPY LLC

MEDICARE: SOUNDSIDE THERAPY LLC
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1558294983
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUNDSIDE THERAPY LLC
Provider Business Mailing Address
First Line : 6451 BERLING RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-3701
Country : US
Telephone Number : 850-529-3403
Fax Number :
Provider Business Practice Location Address
First Line : 6451 BERLING RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-3701
Country : US
Telephone Number : 850-529-3403
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : AMBER NIMS
Credential : MS, CCC-SLP
Telephone Number : 850-529-3403
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “SOUNDSIDE THERAPY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.