Provider Demographics
NPI: | 1194841742 |
---|---|
Name: | CENTER FOR SPEECH & LANGUAGE INC |
Entity type: | Organization |
Organization Name: | CENTER FOR SPEECH & LANGUAGE INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RHONDA |
Authorized Official - Middle Name: | H |
Authorized Official - Last Name: | HEMPHILL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MS CCC SLP |
Authorized Official - Phone: | 407-299-1533 |
Mailing Address - Street 1: | 5020 GODDARD AVENUE |
Mailing Address - Street 2: | |
Mailing Address - City: | ORLANDO |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32804-1168 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 407-299-1533 |
Mailing Address - Fax: | 407-295-5965 |
Practice Address - Street 1: | 5020 GODDARD AVENUE |
Practice Address - Street 2: | |
Practice Address - City: | ORLANDO |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32804-1168 |
Practice Address - Country: | US |
Practice Address - Phone: | 407-299-1533 |
Practice Address - Fax: | 407-295-5965 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-03-22 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty |