Provider Demographics
NPI:1275186462
Name:A WORLD OF SPEECH THERAPY,LLC
Entity Type:Organization
Organization Name:A WORLD OF SPEECH THERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETISHE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP
Authorized Official - Phone:803-553-6580
Mailing Address - Street 1:110 COUNTRY PINES CT
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-8750
Mailing Address - Country:US
Mailing Address - Phone:803-553-6580
Mailing Address - Fax:803-333-9773
Practice Address - Street 1:110 COUNTRY PINES CT
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-8750
Practice Address - Country:US
Practice Address - Phone:803-553-6580
Practice Address - Fax:803-333-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty