Healthcare Provider Details

I. General information

NPI: 1942068309
Provider Name (Legal Business Name): SPEECHIES AND TEACHIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 SW FAIRWAY AVE
PORT SAINT LUCIE FL
34983-3013
US

IV. Provider business mailing address

373 SW FAIRWAY AVE
PORT SAINT LUCIE FL
34983-3013
US

V. Phone/Fax

Practice location:
  • Phone: 305-915-8445
  • Fax:
Mailing address:
  • Phone: 305-915-8445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. BIANCA ANGHEL
Title or Position: CEO
Credential: SLP
Phone: 305-915-8445