Provider Demographics
NPI:1235846908
Name:SEMA SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:SEMA SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:269-487-8719
Mailing Address - Street 1:7723 GREENWOOD AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-7717
Mailing Address - Country:US
Mailing Address - Phone:269-487-8719
Mailing Address - Fax:
Practice Address - Street 1:7723 GREENWOOD AVE APT 1
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7717
Practice Address - Country:US
Practice Address - Phone:269-487-8719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty