Springtide Child Development, Inc

Speech-Language Pathologist · Dedham, MA

Organization Active NPI

NPI number 1417616673

Practice location

95 Eastern Ave Ste 12
Dedham, MA 02026-4582
Phone
(203) 998-6678
Fax
(203) 987-3099

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NPI record

NPI
1417616673
Entity type
Organization (Type 2)
Enumeration date
December 14, 2021
Last updated
December 14, 2021
Certified
December 14, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —
Occupational Therapist 225X00000X — —

Mailing address

PO Box 358096
Pittsburgh, PA 15251-5096
Phone
(203) 998-6678
Fax
(203) 987-3099

Authorized official

Name
Jia Jia Ye
Title
CEO
Phone
(203) 998-6678

About Springtide Child Development, Inc

Springtide Child Development, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 95 Eastern Ave Ste 12, Dedham, MA 02026-4582. The NPI number 1417616673 was assigned on December 14, 2021 and the record was last updated on December 14, 2021.

The authorized official for this organization is Jia Jia Ye, CEO.

Frequently asked questions

What is the NPI number of Springtide Child Development, Inc?

The NPI number is 1417616673.

What is the phone number of Springtide Child Development, Inc?

The phone number listed for the practice location is (203) 998-6678.

Where is Springtide Child Development, Inc located?

95 Eastern Ave Ste 12, Dedham, MA 02026-4582.

What is the taxonomy code for Springtide Child Development, Inc?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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