Organization · NPI-2

Communication Clinic, LLC

Speech-Language Pathologist, · Palm Coast, FL

NPI number1952097396
StatusActive
Last updated in NPPESMay 30, 2024

Details

NPI
1952097396
Entity type
Organization (NPI-2)
Legal business name
Communication Clinic, LLC
Organization subpart
No
Enumeration date
Apr 17, 2023
Certification date
May 29, 2024
Last updated
May 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes
225X00000X Occupational Therapist––
261Q00000X Clinic/Center––

Practice location

75 Riverview Bnd S Unit 1611
Palm Coast, FL 32137-6590

Phone 386-986-8920

Mailing address

75 Riverview Bnd S Unit 1611
Palm Coast, FL 32137-6590

Phone 386-986-8920

Authorized official

Lauren Maura Mulligan
Owner
3869868920

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