Basic Information
| Provider Information | |||||||||
| NPI: | 1760785943 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHATTERBOX SPEECH THERAPY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 761 NW 65TH AVE | ||||||||
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| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333171705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549076317 | ||||||||
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| Address1: | 761 NW 65TH AVE | ||||||||
| Address2: | |||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333171705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549076317 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/10/2010 | ||||||||
| LastUpdateDate: | 12/10/2010 | ||||||||
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| AuthorizedOfficialLastName: | BALROOP | ||||||||
| AuthorizedOfficialFirstName: | NIRVANA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PWNER/SPEECH PATHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 9549076317 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.S | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0700X | SA10332 | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Hearing and Speech |
No ID Information.