Headway Therapy P.a.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 6010 Issued in FL

Legal business name

HEADWAY THERAPY P.A.

Practice address

14717 Yorkshire Run Dr
Orlando, FL 32828-7831

Phone

(407) 694-4366

Fax

(407) 249-2720

NPI assigned

Nov 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Michael E Quinn II, M.A., CCC-SLP

Title

President

Phone

(407) 694-4366

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1720315211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14717 YORKSHIRE RUN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287831",
            "telephone_number": "407-694-4366",
            "fax_number": "407-249-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14717 YORKSHIRE RUN DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287831",
            "telephone_number": "407-694-4366",
            "fax_number": "407-249-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWAY THERAPY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-694-4366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 2, 2009; 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.