Provider Demographics
NPI:1275141400
Name:JOAN TOGAMI LLC
Entity Type:Organization
Organization Name:JOAN TOGAMI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOGAMI
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:254-760-4000
Mailing Address - Street 1:2027 S 61ST ST STE 125
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-6817
Mailing Address - Country:US
Mailing Address - Phone:254-314-2212
Mailing Address - Fax:254-265-7504
Practice Address - Street 1:2027 S 61ST ST STE 125
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6817
Practice Address - Country:US
Practice Address - Phone:254-314-2212
Practice Address - Fax:254-265-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty