Provider Demographics
NPI:1275970246
Name:ABC SPEECH SOLUTIONS LLC
Entity Type:Organization
Organization Name:ABC SPEECH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ELKANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-525-0038
Mailing Address - Street 1:210 GOVERNORS RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1463
Mailing Address - Country:US
Mailing Address - Phone:848-525-0038
Mailing Address - Fax:732-400-9170
Practice Address - Street 1:210 GOVERNORS RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1463
Practice Address - Country:US
Practice Address - Phone:848-525-0038
Practice Address - Fax:732-400-9170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty