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SCINTILLA CHARTER ACADEMY NPI 1740658558


NPI Information

NPI: 1740658558
Provider Name: SCINTILLA CHARTER ACADEMY
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 11D2270420

Address:
2171 E PARK AVE
VALDOSTA, GA
ZIP 31602
Phone: (229) 244-5750
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SCINTILLA CHARTER ACADEMY is a speech language pathologist in Valdosta, GA. The provider is 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. SCINTILLA CHARTER ACADEMY NPI is 1740658558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2171 E PARK AVE
VALDOSTA, GA
ZIP 31602-436
Phone: (229) 244-5750

The provider's authorized official is Stephanie Herndon .
The authorized official title is Office Manager and has the following contact phone number (229) 244-5750.

The CLIA number assigned to this NPI record is 11D2270420 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2015 and was last updated on 9/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist9005GEORGIANo
2225X00000XOccupational Therapist6136GEORGIANo
3235Z00000XSpeech-Language Pathologist1930GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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