Ponte Vedra Speech Language And Learning Llc

LBN: Ponte Vedra Speech Language And Learning Llc
Ponte Vedra Speech Language And Learning Llc is an health care organization with primary practice located at 30 Tavernier Dr Unit B , Ponte Vedra FL 32081-0677. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Ponte Vedra Speech Language And Learning Llc can be contacted via phone (904) 404-2345, or through Olsen, Sonya Marie via phone (904) 844-3136.

Contact Information

Primary practice address
30 Tavernier Dr Unit B Ponte Vedra FL 32081-0677
Phone: (904) 404-2345
Fax: (904) 789-6295
Website:
Map and Directions
Authorized official contact:
Name: Olsen, Sonya Marie M.S.,CCC-SLP
Phone: (904) 844-3136

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1770262990
LBN Legal business name Ponte Vedra Speech Language And Learning Llc
DBA Doing business as
Authorized official Olsen, Sonya Marie M.S.,CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2023
Last updated Mar 12th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770262990 NPPES
Florida MEDICAID 119250400

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