Provider Demographics
NPI:1083838940
Name:CAPE SPEECH THERAPY
Entity Type:Organization
Organization Name:CAPE SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:239-540-8255
Mailing Address - Street 1:2804 DEL PRADO BLVD S
Mailing Address - Street 2:SUITE 202-5
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7252
Mailing Address - Country:US
Mailing Address - Phone:239-540-8255
Mailing Address - Fax:239-540-8563
Practice Address - Street 1:2804 DEL PRADO BLVD S
Practice Address - Street 2:SUITE 202-5
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7252
Practice Address - Country:US
Practice Address - Phone:239-540-8255
Practice Address - Fax:239-540-8563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA6543235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty