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NPI Code Detail

MEDICARE: SLP THERAPY INC

MEDICARE: SLP 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
1235Z00000XSpeech-Language PathologistSA7952FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770806192
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLP THERAPY INC
Provider Business Mailing Address
First Line : 5807 PALMETTO DR
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-3220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5807 PALMETTO DR
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-3220
Country : US
Telephone Number : 772-528-2654
Fax Number :
Authorized Official
Title or Position : OWNER
Name : AMBER LOUISE RANKIN
Credential :
Telephone Number : 772-528-2654
Provider Enumeration Date : 03/12/2010
Last Update Date : 03/12/2010

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Directions to “SLP THERAPY INC ” Practice Location

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