Provider Demographics
NPI:1033423678
Name:SPEECH THERAPY SERVICES OF FRANKLIN LLC
Entity Type:Organization
Organization Name:SPEECH THERAPY SERVICES OF FRANKLIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:REIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:774-571-9624
Mailing Address - Street 1:471 W CENTRAL ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2961
Mailing Address - Country:US
Mailing Address - Phone:774-571-9624
Mailing Address - Fax:
Practice Address - Street 1:471 W CENTRAL ST
Practice Address - Street 2:SUITE 6
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2961
Practice Address - Country:US
Practice Address - Phone:774-571-9624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2968261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA13690196OtherBLUE CROSS BLUE SHIELD