Provider Demographics
NPI:1225640410
Name:UNITY SPEECH THERAPY
Entity Type:Organization
Organization Name:UNITY SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:GRAVES
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:414-202-1191
Mailing Address - Street 1:852 E PRAIRIE LN APT 2
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-8606
Mailing Address - Country:US
Mailing Address - Phone:414-202-1191
Mailing Address - Fax:
Practice Address - Street 1:852 E PRAIRIE LN APT 2
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-8606
Practice Address - Country:US
Practice Address - Phone:414-202-1191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty