Fourth Enhanced Speech Therapy Services, LLC
Speech-Language Pathologist, in Orlando, FL. Organization (NPI-2).
NPI number1154946366
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1154946366
- Entity type
- Organization (NPI-2)
- Legal business name
- Fourth Enhanced Speech Therapy Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
3020 Mesa Verde Dr Apt 1906Orlando, FL 32837-4369
Phone 407-435-0191
Mailing address
3020 Mesa Verde Dr Apt 1906Orlando, FL 32837-4369
Phone 407-435-0191
Authorized official
Tamara Fourth
Speech Language Pathologist/Owner
4074350191
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