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Organization
TUBES 2 TABLES, INC
Active
Organization
TUBES 2 TABLES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEINA F FERGUSON PH.D., CCC-SLP (OWNER/ PROVIDER)
(850) 857-9343
Entity
Organization
Contact information
Practice address
1290 E NINE MILE RD STE B, PENSACOLA, FL 32514-1653
(850) 857-9343
(844) 848-7557
Mailing address
1290 E NINE MILE RD STE B, PENSACOLA, FL 32514-1653
(850) 857-9343
(844) 848-7557
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA6756
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018856900
—
FL
Enumeration date
11/01/2016
Last updated
06/19/2020
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