Provider Demographics
NPI:1114383783
Name:ISPEAK INC
Entity Type:Organization
Organization Name:ISPEAK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:OWENS RANSOM
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:252-308-3331
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:NC
Mailing Address - Zip Code:27842-0373
Mailing Address - Country:US
Mailing Address - Phone:252-308-3331
Mailing Address - Fax:
Practice Address - Street 1:650 NC HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:GASTON
Practice Address - State:NC
Practice Address - Zip Code:27832-9098
Practice Address - Country:US
Practice Address - Phone:252-308-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty