Provider Demographics
NPI:1275299190
Name:SPEECH FOR YOURSELF, LLC
Entity Type:Organization
Organization Name:SPEECH FOR YOURSELF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:JONEKA
Authorized Official - Last Name:EARL
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:404-445-8872
Mailing Address - Street 1:3035 OLDE TOWNE PKWY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-7638
Mailing Address - Country:US
Mailing Address - Phone:404-445-8872
Mailing Address - Fax:
Practice Address - Street 1:3035 OLDE TOWNE PKWY
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-7638
Practice Address - Country:US
Practice Address - Phone:404-445-8872
Practice Address - Fax:888-809-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty