Provider Demographics
NPI:1245396100
Name:PERFECTED SPEECH LLC
Entity Type:Organization
Organization Name:PERFECTED SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:CLARISSA
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:CCCSLP
Authorized Official - Phone:404-295-0195
Mailing Address - Street 1:6505 LIONHEART LANE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349
Mailing Address - Country:US
Mailing Address - Phone:404-295-0195
Mailing Address - Fax:
Practice Address - Street 1:6505 LIONHEART LANE
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349
Practice Address - Country:US
Practice Address - Phone:404-295-0195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty