Speech Pathways Of Brevard Inc

LBN: Speech Avenues Therapy Co
Speech Pathways Of Brevard Inc is an health care organization with primary practice located at 107 Longwood Ave , Rockledge FL 32955-2827. The organization recently has 7 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Speech Avenues Therapy Co can be contacted via phone (321) 338-2419, or through Walter, Gail via phone (321) 338-2419.

Contact Information

Primary practice address
107 Longwood Ave Rockledge FL 32955-2827
Phone: (321) 338-2419
Fax: (321) 301-4278
Website:
Map and Directions
Authorized official contact:
Name: Walter, Gail M.S.CCC-SLP
Phone: (321) 338-2419

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA12232 Florida
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1316456452
LBN Legal business name Speech Avenues Therapy Co
DBA Doing business as Speech Pathways Of Brevard Inc
Authorized official Walter, Gail M.S.CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2017
Last updated Jul 20th, 2022 - about 4 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 1316456452 NPPES
Florida MEDICAID 006382800

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