Provider Demographics
NPI:1477718393
Name:IDEAL COMMUNICATIONS
Entity Type:Organization
Organization Name:IDEAL COMMUNICATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SPAULDING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:317-938-3216
Mailing Address - Street 1:7380 SPOUT SPRINGS RD
Mailing Address - Street 2:210
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-7541
Mailing Address - Country:US
Mailing Address - Phone:317-938-3216
Mailing Address - Fax:
Practice Address - Street 1:7380 SPOUT SPRINGS RD
Practice Address - Street 2:210
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-7541
Practice Address - Country:US
Practice Address - Phone:317-938-3216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22004203A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty