Advance Speech Therapy Services, INC.
Clinic/Center in Port Saint Lucie, FL. Organization (NPI-2).
NPI number1972721439
StatusActive
Last updated in NPPESJan 27, 2026
Details
- NPI
- 1972721439
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Speech Therapy Services, INC.
- Organization subpart
- No
- Enumeration date
- Apr 23, 2007
- Certification date
- Jan 27, 2026
- Last updated
- Jan 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
1483 Sw Bougainvillea AvePort Saint Lucie, FL 34953-7302
Phone 772-336-6928 · Fax 772-336-6929
Mailing address
1483 Sw Bougainvillea AvePort Saint Lucie, FL 34953-7302
Phone 772-336-6928 · Fax 772-336-6929
Authorized official
Tiffany Marie Luque
Speech-Language Pathologist/Pres.
7723366928
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