Basic Information
| Provider Information | |||||||||
| NPI: | 1720592819 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW HORIZONS SPEECH & LANGUAGE CENTER INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6113 GRAPEVIEW BLVD | ||||||||
| Address2: | |||||||||
| City: | LOXAHATCHEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334705341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5615038349 | ||||||||
| FaxNumber: | 5615082875 | ||||||||
| Practice Location | |||||||||
| Address1: | 6113 GRAPEVIEW BLVD | ||||||||
| Address2: | |||||||||
| City: | LOXAHATCHEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5615038349 | ||||||||
| FaxNumber: | 5615082875 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2017 | ||||||||
| LastUpdateDate: | 05/22/2018 | ||||||||
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| AuthorizedOfficialLastName: | MCDONALD | ||||||||
| AuthorizedOfficialFirstName: | SHARON | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5615038349 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | SLP | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.