Healthcare Provider Details

I. General information

NPI: 1114065703
Provider Name (Legal Business Name): HAND IN HAND SPEECH & LANGUAGE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 FORESTWOOD DR
MINNEOLA FL
34715-7723
US

IV. Provider business mailing address

816 FORESTWOOD DR
MINNEOLA FL
34715-7723
US

V. Phone/Fax

Practice location:
  • Phone: 352-536-2561
  • Fax: 407-264-6557
Mailing address:
  • Phone: 352-536-2561
  • Fax: 407-264-6557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP004307
License Number StateGA

VIII. Authorized Official

Name: JENNIFER ALSDORF
Title or Position: PRESIDENT
Credential: CCC-SLP
Phone: 352-536-2561