Provider Demographics
NPI:1366097628
Name:NEW DAY SPEECH THERAPY SERVICES LLC
Entity type:Organization
Organization Name:NEW DAY SPEECH THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALLWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:904-377-7947
Mailing Address - Street 1:2180 A1A S STE 104
Mailing Address - Street 2:DEPREY CHIROPRACTIC BUILDING
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-6523
Mailing Address - Country:US
Mailing Address - Phone:904-377-7947
Mailing Address - Fax:904-471-6236
Practice Address - Street 1:2180 A1A S STE 104
Practice Address - Street 2:DEPREY CHIROPRACTIC BUILDING
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-6523
Practice Address - Country:US
Practice Address - Phone:904-377-7947
Practice Address - Fax:904-471-6236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty