# ELITE SPEECH THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669684965
- **Authorized official:** MRS. KIMBERLY J BEAUGEZ MS,CCC,SLP (SPEECH PATHOLOGIST, CO-OWNER)
- **Authorized official phone:** (239) 482-3154

## Contact information

- **Practice address:** 13721 CYPRESS TERRACE CIR, FORT MYERS, FL 33907-8829
- **Practice address phone:** (239) 482-3154
- **Mailing address:** 13721 CYPRESS TERRACE CIR, FORT MYERS, FL 33907-8829
- **Mailing address phone:** (239) 482-3154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SA6971 | FL | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020