Provider Demographics
NPI:1558679787
Name:THE SPEECH PATHOLOGY AND OTHER THERAPIES CENTER, INC.
Entity Type:Organization
Organization Name:THE SPEECH PATHOLOGY AND OTHER THERAPIES CENTER, INC.
Other - Org Name:THE SPOT-C, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH PATHOLOGIST/DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:H
Authorized Official - Last Name:NADEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:305-798-4974
Mailing Address - Street 1:311 NE 8TH ST
Mailing Address - Street 2:SUITE 105-106
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4738
Mailing Address - Country:US
Mailing Address - Phone:305-798-4974
Mailing Address - Fax:305-245-8777
Practice Address - Street 1:311 NE 8TH ST
Practice Address - Street 2:SUITE 105-106
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4738
Practice Address - Country:US
Practice Address - Phone:305-798-4974
Practice Address - Fax:305-245-8777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8012235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty