Pediatric Speech & Language Pathologist, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 3688 Issued in FL

Legal business name

PEDIATRIC SPEECH & LANGUAGE PATHOLOGIST, INC.

Practice address

850 Edgewater Dr
Orlando, FL 32804-6808

Phone

(407) 318-7312

Fax

(407) 428-6154

NPI assigned

Mar 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Melanie D. Doll, M.ED. CCC-SLP

Title

President

Phone

(407) 318-7312

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386768208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046808",
            "telephone_number": "407-318-7312",
            "fax_number": "407-428-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046808",
            "telephone_number": "407-318-7312",
            "fax_number": "407-428-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH & LANGUAGE PATHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-318-7312",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 3688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8830509",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Speech Specialists & Clinical Mental Health Counseling of F
• Pediatric Surgery P.a.
• Pediatric Therapy Foundation of Orlando, Inc
• Pediatrics and Family Care LLC
• Pediatrics and Family Care LLC (Pediatrics and Family Care-DME Provider)

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.