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NPI Code Detail

MEDICARE: ADVANTAGE SPEECH THERAPY INC

MEDICARE: ADVANTAGE SPEECH THERAPY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center
2261QH0700XHearing and Speech Clinic/Center

General Provider Information

NPI Number : 1164166963
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANTAGE SPEECH THERAPY INC
Provider Business Mailing Address
First Line : 3435 SILVERBELL RD
Second Line :
City : CHICO
State : CA
Zip : 95973-0386
Country : US
Telephone Number : 530-774-2261
Fax Number : 530-774-2378
Provider Business Practice Location Address
First Line : 3435 SILVERBELL RD
Second Line :
City : CHICO
State : CA
Zip : 95973-0386
Country : US
Telephone Number : 530-774-2261
Fax Number : 530-774-2378
Authorized Official
Title or Position : CEO/MANAGER
Name : HALEY WILLIS
Credential :
Telephone Number : 530-774-2261
Provider Enumeration Date : 04/26/2022
Last Update Date : 09/20/2024

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Directions to “ADVANTAGE SPEECH THERAPY INC ” Practice Location

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