Provider Demographics
NPI:1114661477
Name:MYSPEECH LLC
Entity Type:Organization
Organization Name:MYSPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURRAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-222-8032
Mailing Address - Street 1:14996 SW 283RD ST APT 301
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1154
Mailing Address - Country:US
Mailing Address - Phone:786-222-8032
Mailing Address - Fax:
Practice Address - Street 1:14996 SW 283RD ST APT 301
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1154
Practice Address - Country:US
Practice Address - Phone:786-222-8032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty