Provider Demographics
NPI:1336714385
Name:THOMAS, SAISHA MARIE (MS,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SAISHA
Middle Name:MARIE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GREENSKEEP DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-6701
Mailing Address - Country:US
Mailing Address - Phone:831-247-9343
Mailing Address - Fax:
Practice Address - Street 1:13451 SE 98TH ST
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34431-7460
Practice Address - Country:US
Practice Address - Phone:831-247-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18805235Z00000X
CA18279235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist