Provider Demographics
NPI:1265643456
Name:NATIONAL CENTER FOR SPEECH AND LANGUAGE, INC.
Entity Type:Organization
Organization Name:NATIONAL CENTER FOR SPEECH AND LANGUAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-345-2828
Mailing Address - Street 1:7594 PINEWALK DR S
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-8121
Mailing Address - Country:US
Mailing Address - Phone:954-345-2828
Mailing Address - Fax:954-345-1104
Practice Address - Street 1:3080 NW 99TH AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4038
Practice Address - Country:US
Practice Address - Phone:954-345-2828
Practice Address - Fax:954-345-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5780235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty