Provider Demographics
NPI:1265834642
Name:ACADEMICALLY SPEAKING, LLC
Entity Type:Organization
Organization Name:ACADEMICALLY SPEAKING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:678-281-1830
Mailing Address - Street 1:3695 CASCADE RD SW STE F
Mailing Address - Street 2:#2285
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2146
Mailing Address - Country:US
Mailing Address - Phone:678-281-1830
Mailing Address - Fax:404-745-8893
Practice Address - Street 1:4066 HAMMOCK TRCE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-8865
Practice Address - Country:US
Practice Address - Phone:678-281-1830
Practice Address - Fax:404-745-8893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP007874235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty