Provider Demographics
NPI:1053937482
Name:DYSPHAGIA SOLUTIONS INC.
Entity type:Organization
Organization Name:DYSPHAGIA SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SLP
Authorized Official - Prefix:
Authorized Official - First Name:GERRITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:813-294-4388
Mailing Address - Street 1:5615 RIVA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6511
Mailing Address - Country:US
Mailing Address - Phone:813-294-4388
Mailing Address - Fax:
Practice Address - Street 1:5615 RIVA RIDGE DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6511
Practice Address - Country:US
Practice Address - Phone:813-294-4388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty