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Organization
PEDIATRIC THERAPY SOURCE
Active
Organization
PEDIATRIC THERAPY SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON BERG MS CCC SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(732) 232-1126
Entity
Organization
Contact information
Practice address
3600 S CONGRESS AVE STE G, BOYNTON BEACH, FL 33426-8488
(561) 926-5609
(561) 231-6498
Mailing address
3600 S CONGRESS AVE STE G, BOYNTON BEACH, FL 33426-8488
(561) 926-5609
(561) 231-6498
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016604900
—
FL
Enumeration date
12/06/2021
Last updated
07/03/2025
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