All-Star Speech, LLC
Organization Active NPI Speech-Language Pathologist · Spring Hill, FL
NPI 1912413725 · NPPES record last updated Dec 17, 2017
Key facts
- NPI
- 1912413725
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SA13841 (FL)
- Legal business name
- ALL-STAR SPEECH, LLC
- Practice address
- 14111 Finsbury Dr
Spring Hill, FL 34609-0786 - Phone
- (813) 418-2513
- NPI assigned
- Dec 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Vicky Reales, M.S., CCC.SLP
- Title
- Owner
- Phone
- (813) 418-2513
Practitioners 4
-
Vicky Reales, M.S., SLP
National Provider Directory
Locations
12575 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 616-0649
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | SA13841 | FL | Yes |
Addresses
Primary practice location
14111 Finsbury Dr
Spring Hill, FL 34609-0786
Mailing address
14111 Finsbury Dr
Spring Hill, FL 34609-0786
Phone (813) 418-2513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558767079 | Medicaid | FL |
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All providers in Spring Hill, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.