Space Speech Therapy, LLC
NPI #1093467466 in Tallahassee, Florida
Provider Information
- NPI Number
- 1093467466
- Entity Type
- Organization
- Organization Name
- Space Speech Therapy, LLC
- Primary Specialty
- Clinic/Center - Hearing and Speech
- Enumeration Date
- Jan 26, 2022
- Last Updated
- Jan 26, 2022
Practice Location
- Address
- 850 S GADSDEN ST UNIT 729
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32301-2442
- Phone
- (678) 517-9255
Authorized Official
- Name
- MS. KIANA DESIREE HINES, MED., CCC-SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST
- Phone
- (404) 482-2947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Hearing and Speech — Hearing and Speech |
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