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NPI Code Detail

MEDICARE: INNOVATIVE NEUROLOGICAL SPEECH SOLUTIONS

MEDICARE: INNOVATIVE NEUROLOGICAL SPEECH SOLUTIONS
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1700478690
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNOVATIVE NEUROLOGICAL SPEECH SOLUTIONS
Provider Business Mailing Address
First Line : 820 MAIN LN APT 1446
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3888
Country : US
Telephone Number : 513-240-8518
Fax Number :
Provider Business Practice Location Address
First Line : 820 MAIN LN APT 1446
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3888
Country : US
Telephone Number : 513-240-8518
Fax Number :
Authorized Official
Title or Position : CEO/FOUNDER- SPEECH PATHOLOGIST
Name : MR. MIKEL M WILLIAMS
Credential : M.S., CCC-SLP
Telephone Number : 513-240-8518
Provider Enumeration Date : 02/11/2021
Last Update Date : 02/11/2021

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Directions to “INNOVATIVE NEUROLOGICAL SPEECH SOLUTIONS ” Practice Location

Language Start Address Practice Location
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.

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