Provider Demographics
NPI:1093578916
Name:GREEN TREE SPEECH LLC
Entity Type:Organization
Organization Name:GREEN TREE SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEFICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:412-853-9290
Mailing Address - Street 1:137 W MANILLA AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2622
Mailing Address - Country:US
Mailing Address - Phone:412-853-9290
Mailing Address - Fax:
Practice Address - Street 1:137 W MANILLA AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2622
Practice Address - Country:US
Practice Address - Phone:412-853-9290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty