MEDICARE: A SOUND APPROACH SPEECH/LANGUAGE THERAPY, LLC

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
1	252Y00000X	Early Intervention Provider Agency
2	235Z00000X	Speech-Language Pathologist	9959	FL

Other Identifiers

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

General Provider Information

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

Provider Business Mailing Address
First Line	:	5337 MOONGATE RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1243
Country	:	US
Telephone Number	:	352-650-2369
Fax Number	:

Provider Business Practice Location Address
First Line	:	5337 MOONGATE RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1243
Country	:	US
Telephone Number	:	352-650-2369
Fax Number	:

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

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	03/17/2018

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Directions to “A SOUND APPROACH SPEECH/LANGUAGE THERAPY, LLC ” Practice Location

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