Provider Demographics
NPI:1497725071
Name:BUILDING BLOCKS OF SPEECH THERAPY, INC.
Entity Type:Organization
Organization Name:BUILDING BLOCKS OF SPEECH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEIGH
Authorized Official - Middle Name:G
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:727-521-6121
Mailing Address - Street 1:982 MARCO DR NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2727
Mailing Address - Country:US
Mailing Address - Phone:727-521-6121
Mailing Address - Fax:727-521-6020
Practice Address - Street 1:982 MARCO DR NE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-2727
Practice Address - Country:US
Practice Address - Phone:727-521-6121
Practice Address - Fax:727-521-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 5897235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty