FULL SPECTRUM SPEECH THERAPY LLC (NPI# 1255834933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255834933 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM SPEECH THERAPY LLC |
| Practice Address |
16414 Lake Church Dr Odessa FL 33556-2637 |
| Practice Telephone | 8139265454 |
| Mailing Telephone | 8139265454 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | CARROLL STREETMAN (GENERAL MANAGER) |
| Authorized Official Telephone | 8139265454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
16414 LAKE CHURCH DR |
| City | ODESSA |
| State | FL |
| Zip Code | 33556-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295034957 | Deborah Antoniou | Behavioral Analyst | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2011-03-21 |
| 1932740115 | Noemi Maria Dolson | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2019-09-30 |
| 1225505795 | Chanel Janae Mays | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2018-11-01 |
| 1134695430 | Maria Elizabeth Cherry | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2018-10-15 |
| 1972078947 | Khadijah El-amin | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2018-10-05 |
| 1528543402 | Courtney Christine Cabrera | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2018-09-26 |
| 1013495464 | Dwaine Francis | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2018-07-29 |
| 1003302258 | Ryann Lynn Huff | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2018-07-10 |
| 1770079873 | Jennifer Mcpeak | Behavioral Analyst | 16414 Lake Church Dr, Odessa, FL 33556-2637 | 2018-07-02 |
| 1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1790244267 | Gabriela Fernandez Strickland | Psychologist | 16117 Lytham Drive, Odessa, FL 33556 | 2019-03-14 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1366671927 | Manik S Bedi | Dentist | 17751 Gunn Hwy, Odessa, FL 33556 | 2009-07-03 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1013434398 | Simeon Shepard | Specialist/Technologist, Other | 13238 Royal George Ave, Odessa, FL 33556 | 2017-08-28 |
| 1770548273 | Alan Edward Zloto | Internal Medicine | 6101 Webb Rd, Suite 104, Tampa, FL 33556 | 2006-04-18 |
| Find all providers in zip 33556 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386019198 | Erin Smith | Speech-Language Pathologist | 12911 Royal George Ave, Odessa, FL 33556-5710 | 2015-12-04 |
| 1154790434 | Glenna Pusey | Speech-Language Pathologist | 313 South Fifth Street, Box 4010, Odessa, DE 19730 | 2015-09-17 |
| 1730567041 | Kelly Behlmann | Speech-Language Pathologist | 1100 W Cox School Rd, Odessa, MO 64076-5259 | 2015-05-07 |
| 1093108813 | Janae Turner | Speech-Language Pathologist | 7411 Highway Hh, Odessa, MO 64076-6175 | 2015-03-18 |
| 1902201247 | Abbie Barnett | Speech-Language Pathologist | 850 Tower Dr Ste 112, Odessa, TX 79761-4252 | 2014-10-29 |
| 1174865687 | Amber Kay Sullivan | Speech-Language Pathologist | 13428 Mount Tabor Rd, Odessa, MO 64076-7444 | 2013-03-22 |
| 1780929935 | Maribeth Poole | Speech-Language Pathologist | 1406 Wyndham Lakes Dr, Odessa, FL 33556-4322 | 2012-11-28 |
| 1639414972 | Lori Kristen Yauch | Speech-Language Pathologist | 16106 Worlington Pl, Odessa, FL 33556-5702 | 2012-11-27 |
| 1972856698 | Mallory Steffen Speech Therapy, LLC | Speech-Language Pathologist | 701 Opera House Ln, Odessa, MO 64076-1624 | 2012-10-18 |
| 1427309467 | Shari Golenski | Speech-Language Pathologist | 6317 Christopher Ln, Odessa, TX 79762-5457 | 2012-10-01 |
| Find all providers in ODESSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.