Provider Demographics
NPI:1326711813
Name:SPEECH THERAPEUTICS INC
Entity Type:Organization
Organization Name:SPEECH THERAPEUTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-530-3953
Mailing Address - Street 1:PO BOX 642
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-0642
Mailing Address - Country:US
Mailing Address - Phone:302-234-9226
Mailing Address - Fax:
Practice Address - Street 1:15 ELDERBERRY CT
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-2131
Practice Address - Country:US
Practice Address - Phone:302-234-9226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech