NPI 1043723810

Words Matter

Organisation Early Intervention Provider Agency Neptune Beach, FL

Practice location

Address: 1018 Hagler Dr, Neptune Beach, FL 32266-3756
Phone: (904) 463-3152
Fax: (904) 249-0685

Authorised official

Name: Mary Susan Knowles Montgomery
Title: Speech-Language Pathologist
Phone: (904) 463-3152

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence SA3436 (FL)

Other Early Intervention Provider Agency providers in Florida →

Registry record

NPI: 1043723810
Entity type: Organization
NPI issued: 14 Nov 2017
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.