Organization
JABBER JAW KIDS SPEECH AND LANGUAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY THOMAS M.S., CCC/SLP (OWNER/PRESIDENT)
(352) 205-0077
Entity
Organization
Contact information
Practice address
3225 S MACDILL AVE STE 129-364, TAMPA, FL 33629-8171
(352) 205-0077
Mailing address
3225 S MACDILL AVE STE 129-364, TAMPA, FL 33629-8171
(352) 205-0077
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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