Provider Demographics
NPI:1902343882
Name:INTEGRATED CHILDREN'S THERAPY
Entity Type:Organization
Organization Name:INTEGRATED CHILDREN'S THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:856-534-1606
Mailing Address - Street 1:201 SE 2ND AVE
Mailing Address - Street 2:APT 1823
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2221
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 SE 2ND AVE
Practice Address - Street 2:APT 1823
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2221
Practice Address - Country:US
Practice Address - Phone:856-534-1606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7961261QA3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication