KANGA DYSLEXIA AND THERAPY SERVICES NPI 1003447152

Speech-Language Pathologist in Haines City, FL

Organization Speech-Language Pathologist

About KANGA DYSLEXIA AND THERAPY SERVICES

Kanga Dyslexia And Therapy Services is a provider established in Haines City, Florida specializing in speech-language pathologist. The NPI number of Kanga Dyslexia And Therapy Services is 1003447152 and was assigned on January 2020. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated January 2020. Kanga Dyslexia And Therapy Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Debra Copple (President)

NPI

1003447152

Provider NameKANGA DYSLEXIA AND THERAPY SERVICES
Provider Location Address125 BREAM ST HAINES CITY, FL 33844
Provider Mailing AddressPO BOX 3983 LAKE WALES, FL 33859
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-28-2020
Last Update Date01-28-2020

Primary Taxonomy

Taxonomy Code235Z00000X
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
Taxonomy DescriptionThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Business Address

KANGA DYSLEXIA AND THERAPY SERVICES
125 BREAM ST
HAINES CITY, FL
ZIP 33844
Phone: (863) 409-2994
Fax: (863) 438-7064

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Mailing Address

KANGA DYSLEXIA AND THERAPY SERVICES
PO BOX 3983
LAKE WALES, FL
ZIP 33859
Phone: (863) 409-2994
Fax: (863) 438-7064

Authorized Official

Authorized Official Name DEBRA COPPLE
Authorized Official TitlePRESIDENT
Authorized Official Phone(863) 409-2994

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
002119000MEDICAID (05)FL
9000176345MEDICAID (05)CO

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.