Provider Demographics
NPI:1083301345
Name:SPEECH WORKS 365 INC.
Entity Type:Organization
Organization Name:SPEECH WORKS 365 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JORDYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:650-823-8902
Mailing Address - Street 1:405 WALTHAM ST STE 222
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7934
Mailing Address - Country:US
Mailing Address - Phone:888-233-1399
Mailing Address - Fax:866-818-9255
Practice Address - Street 1:405 WALTHAM ST STE 222
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7934
Practice Address - Country:US
Practice Address - Phone:888-233-1399
Practice Address - Fax:866-818-9255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty