Organization
FOURTH ENHANCED SPEECH THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA FOURTH (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(407) 435-0191
Entity
Organization
Contact information
Practice address
3020 MESA VERDE DR APT 1906, ORLANDO, FL 32837-4369
(407) 435-0191
Mailing address
3020 MESA VERDE DR APT 1906, ORLANDO, FL 32837-4369
(407) 435-0191
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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