Speak Easy Pediatrics
Speech-Language Pathologist, in St Petersburg, FL. Organization (NPI-2).
NPI number1982155453
StatusActive
Last updated in NPPESJun 5, 2024
Details
- NPI
- 1982155453
- Entity type
- Organization (NPI-2)
- Legal business name
- Speak Easy Pediatrics
- Organization subpart
- No
- Enumeration date
- Oct 20, 2016
- Certification date
- Jun 5, 2024
- Last updated
- Jun 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – |
Practice location
2632 Central AveSt Petersburg, FL 33712-1152
Phone 614-940-4428 · Fax 727-329-6603
Mailing address
1678 Geralds DrBrentwood, TN 37027-2135
Phone 614-940-4428 · Fax 727-329-6603
Authorized official
Katherine Maria Besonen
Speech And Language Pathologist
6149404428
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