Eustis Speech and Language Center, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA956 Issued in FL

Legal business name

EUSTIS SPEECH AND LANGUAGE CENTER, INC

Practice address

17521 US Highway 441
Suite 6
Mount Dora, FL 32757-6737

Phone

(352) 385-1944

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Cathy P Hale

Title

Director

Phone

(352) 385-1944

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861605792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 US HIGHWAY 441",
            "address_2": "SUITE 6",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 US HIGHWAY 441",
            "address_2": "SUITE 6",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576737",
            "telephone_number": "352-385-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUSTIS SPEECH AND LANGUAGE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-385-1944"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.