Provider Demographics
NPI:1083340129
Name:VALLEY SPEECH SERVICES LLC
Entity Type:Organization
Organization Name:VALLEY SPEECH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-575-8682
Mailing Address - Street 1:439 GRANBY RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2213
Mailing Address - Country:US
Mailing Address - Phone:413-575-8682
Mailing Address - Fax:413-322-8061
Practice Address - Street 1:439 GRANBY RD STE 1
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-2213
Practice Address - Country:US
Practice Address - Phone:413-575-8682
Practice Address - Fax:413-322-8061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-30
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty