Provider Demographics
NPI:1083154686
Name:KEYS TO COMMUNICATION, INC
Entity Type:Organization
Organization Name:KEYS TO COMMUNICATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULSON NOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-457-6074
Mailing Address - Street 1:1280 17TH ST SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-4424
Mailing Address - Country:US
Mailing Address - Phone:786-457-6074
Mailing Address - Fax:
Practice Address - Street 1:1280 17TH ST SW
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34117-4424
Practice Address - Country:US
Practice Address - Phone:786-457-6074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7136235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty