1083342620 NPI number — FUNDAMENTAL SPEECH THERAPY

Table of content: (NPI 1083342620)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083342620 NPI number — FUNDAMENTAL SPEECH THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FUNDAMENTAL SPEECH THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083342620
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6688 NOLESVILLE ROAD
Provider Second Line Business Mailing Address:
STE 108-133
Provider Business Mailing Address City Name:
BRENTWOOD
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37027-8833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-348-9991
Provider Business Mailing Address Fax Number:
615-616-8725

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7049 SUNNYWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37211-8624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-788-1739
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/11/2022

Additional Information

Authorized Official

Authorized Official Last Name:
OLIVA
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
305-788-1739

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com