Provider Demographics
NPI:1265022495
Name:GRETCHNEVA SPEECH WORLD, INC.
Entity Type:Organization
Organization Name:GRETCHNEVA SPEECH WORLD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:V
Authorized Official - Last Name:GRETCHNEVA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:917-520-5540
Mailing Address - Street 1:543 W 147TH ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-4405
Mailing Address - Country:US
Mailing Address - Phone:917-520-5540
Mailing Address - Fax:
Practice Address - Street 1:543 W 147TH ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-4405
Practice Address - Country:US
Practice Address - Phone:917-520-5540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency