Provider Demographics
NPI:1588380398
Name:PALM TREE SPEECH THERAPY
Entity type:Organization
Organization Name:PALM TREE SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-291-4498
Mailing Address - Street 1:590 SOLUTIONS WAY STE 110
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-3623
Mailing Address - Country:US
Mailing Address - Phone:321-291-4498
Mailing Address - Fax:321-541-9148
Practice Address - Street 1:590 SOLUTIONS WAY STE 110
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3623
Practice Address - Country:US
Practice Address - Phone:321-291-4498
Practice Address - Fax:321-541-9148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty