MEDICARE: SPEECH AND LANGUAGE SERVICES OF THE TREASURE COAST, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	261Q00000X	Clinic/Center
3	235Z00000X	Speech-Language Pathologist

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	:	1619062031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH AND LANGUAGE SERVICES OF THE TREASURE COAST, INC

Provider Business Mailing Address
First Line	:	2120 SE HERRON AVENUE
Second Line	:
City	:	PORT ST. LUCIE
State	:	FL
Zip	:	34952-5853
Country	:	US
Telephone Number	:	772-489-1714
Fax Number	:	866-284-6714

Provider Business Practice Location Address
First Line	:	1607 NW FEDERAL HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-9600
Country	:	US
Telephone Number	:	772-291-1614
Fax Number	:	866-284-6714

Authorized Official
Title or Position	:	SPEECH LANG PATHOLOGIST
Name	:	MRS. JOANNE MARIE MURPHY
Credential	:
Telephone Number	:	772-489-1714

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/28/2023

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