Provider Demographics
NPI:1194065656
Name:NOVA HEALTH THERAPIES
Entity type:Organization
Organization Name:NOVA HEALTH THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-329-3272
Mailing Address - Street 1:1901 HALFORD AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-2537
Mailing Address - Country:US
Mailing Address - Phone:408-329-3272
Mailing Address - Fax:
Practice Address - Street 1:1667 S MAIN ST
Practice Address - Street 2:BUILDING 4
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6263
Practice Address - Country:US
Practice Address - Phone:408-329-3272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP16034235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty