Provider Demographics
NPI:1275968034
Name:SPEECH MATTERS SLP PLLC
Entity Type:Organization
Organization Name:SPEECH MATTERS SLP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEJOIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-861-7800
Mailing Address - Street 1:210 E 86TH ST RM 202
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7728
Mailing Address - Country:US
Mailing Address - Phone:212-861-7800
Mailing Address - Fax:
Practice Address - Street 1:210 E 86TH ST RM 202
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7728
Practice Address - Country:US
Practice Address - Phone:212-861-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003145-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02229743Medicaid