| NPI | 1104223395 |
|---|---|
| Doing Business As | BEACHES SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | MELANIE P DESMOND Owner 904-616-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA6650) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2022-02-22 |