NPI 1972721439 · live from the CMS NPI Registry
Advance Speech Therapy Services, INC.
Clinic/Center in Port Saint Lucie, FL. National Provider Identifier 1972721439, active.
NPI record
| NPI | 1972721439 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center 261Q00000X |
| Practice location | 1483 Sw Bougainvillea Ave, Port Saint Lucie, FL 34953 |
| Practice phone | 772-336-6928 |
| Enumerated | April 23, 2007 |
| Last updated | January 27, 2026 |
| Authorized official | Tiffany Luque, Speech-Language Pathologist/Pres. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | — |
| Clinic/Center primary | 261Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.