Impactful Therapy Services LLC
NPI #1306200373 in Saint Johns, Florida
Provider Information
- NPI Number
- 1306200373
- Entity Type
- Organization
- Organization Name
- Impactful Therapy Services LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 6, 2016
- Last Updated
- Apr 6, 2016
Practice Location
- Address
- 308 TOLLERTON AVE
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-6305
- Phone
- (404) 452-1640
Authorized Official
- Name
- ELIZABETH ADEYEMO, CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (404) 452-1640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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