Provider Demographics
NPI:1003186123
Name:SPEECH LANGUAGE CONNECTIONS, LLC
Entity Type:Organization
Organization Name:SPEECH LANGUAGE CONNECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:HUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:410-212-6196
Mailing Address - Street 1:13395 WYE LANDING LN
Mailing Address - Street 2:
Mailing Address - City:WYE MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21679-2039
Mailing Address - Country:US
Mailing Address - Phone:410-212-6196
Mailing Address - Fax:
Practice Address - Street 1:13395 WYE LANDING LN
Practice Address - Street 2:
Practice Address - City:WYE MILLS
Practice Address - State:MD
Practice Address - Zip Code:21679-2039
Practice Address - Country:US
Practice Address - Phone:410-212-6196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty