Healthcare Provider Details

I. General information

NPI: 1194841742
Provider Name (Legal Business Name): CENTER FOR SPEECH & LANGUAGE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5020 GODDARD AVENUE
ORLANDO FL
32804-1168
US

IV. Provider business mailing address

5020 GODDARD AVENUE
ORLANDO FL
32804-1168
US

V. Phone/Fax

Practice location:
  • Phone: 407-299-1533
  • Fax: 407-295-5965
Mailing address:
  • Phone: 407-299-1533
  • Fax: 407-295-5965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RHONDA H HEMPHILL
Title or Position: PRESIDENT DIRECTOR
Credential: MS CCC SLP
Phone: 407-299-1533