NPI 1255350443 · live from the CMS NPI Registry
Advance Therapy INC
Speech-Language Pathologist, in Melbourne, FL. National Provider Identifier 1255350443, active.
NPI record
| NPI | 1255350443 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5266 Mansford Pl, Melbourne, FL 32940 |
| Practice phone | 321-795-5756 |
| Enumerated | July 19, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Tania Howorth, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SA5911 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.