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General NPI Number Information
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NPI Number | 1952190696
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Entity Type | Organization
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Legal Business Name | ANDERSON SPEECH THERAPY, PLLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 673 PARKER AVE
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City | SAINT JOHNSBURY
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State | VT
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Zip | 05819-2819
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Country | US
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Telephone | 802-751-5266
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Fax |
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Provider Business Mailing Address
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Address Line | 673 PARKER AVE
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City | SAINT JOHNSBURY
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State | VT
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Zip | 05819-2819
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Country | US
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Telephone | 802-751-5266
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | KAYLA ANDERSON
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Credential | MS
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Telephone | 802-751-5266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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