Provider Demographics
NPI:1073846317
Name:SPEAK WITH US, INC.
Entity Type:Organization
Organization Name:SPEAK WITH US, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRTWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:800-850-0991
Mailing Address - Street 1:7 BISBEE RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:BISBEE
Mailing Address - State:AZ
Mailing Address - Zip Code:85603-1140
Mailing Address - Country:US
Mailing Address - Phone:800-850-0991
Mailing Address - Fax:815-301-8374
Practice Address - Street 1:7 BISBEE RD
Practice Address - Street 2:UNIT J
Practice Address - City:BISBEE
Practice Address - State:AZ
Practice Address - Zip Code:85603-1140
Practice Address - Country:US
Practice Address - Phone:800-850-0991
Practice Address - Fax:815-301-8374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP4292235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ870552Medicaid