Organization · Type 2 NPI

Taking Flight Pediatric Speech & Language Therapy, LLC

Clinic/Center · Melbourne, FL

NPI number 1962077370 Active

Practice location

4034 Fenrose Cir
Melbourne, FL 32940-1213

Fax (321) 541-9147

Other practice locations

  • 3550 W Eau Gallie Blvd, Melbourne, FL 32934-7298 · (321) 591-1250

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1962077370

Taking Flight Pediatric Speech & Language Therapy, LLC's National Provider Identifier is 1962077370, issued on May 26, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Melbourne, FL. The record was last updated on Sep 7, 2021.