Provider Demographics
NPI:1982021283
Name:SONGBIRD THERAPY
Entity Type:Organization
Organization Name:SONGBIRD THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SPIELVOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:321-506-8433
Mailing Address - Street 1:4250 ALAFAYA TRL
Mailing Address - Street 2:SUITE 212-106
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9412
Mailing Address - Country:US
Mailing Address - Phone:321-506-8433
Mailing Address - Fax:
Practice Address - Street 1:14956 FAVERSHAM CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4109
Practice Address - Country:US
Practice Address - Phone:321-506-8433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 12234235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty