Provider Demographics
NPI:1114772787
Name:SURMOUNT SPEECH LLC
Entity Type:Organization
Organization Name:SURMOUNT SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:ISKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-689-9164
Mailing Address - Street 1:510 SW FRANKLIN DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-2706
Mailing Address - Country:US
Mailing Address - Phone:515-689-9164
Mailing Address - Fax:
Practice Address - Street 1:510 SW FRANKLIN DR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-2706
Practice Address - Country:US
Practice Address - Phone:515-689-9164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech