Healthcare Provider Details

I. General information

NPI: 1962929992
Provider Name (Legal Business Name): A SOUND APPROACH SPEECH/LANGUAGE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5337 MOONGATE RD
SPRING HILL FL
34606-1243
US

IV. Provider business mailing address

5337 MOONGATE RD
SPRING HILL FL
34606-1243
US

V. Phone/Fax

Practice location:
  • Phone: 352-650-2369
  • Fax:
Mailing address:
  • Phone: 352-650-2369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9959
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: HEIDI JEAN DAWES
Title or Position: OWNER/SPEECH-LANGUAGE PATHOLOGIST
Credential: MA,CCC-SLP
Phone: 352-650-2369