Provider Demographics
NPI:1851092811
Name:SPEECH YOUR MIND
Entity Type:Organization
Organization Name:SPEECH YOUR MIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZORRILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP TSSLD BE
Authorized Official - Phone:813-648-1878
Mailing Address - Street 1:216 W INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-4704
Mailing Address - Country:US
Mailing Address - Phone:813-648-1878
Mailing Address - Fax:
Practice Address - Street 1:216 W INDIANA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-4704
Practice Address - Country:US
Practice Address - Phone:813-648-1878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty