Provider Demographics
NPI:1346578564
Name:SPEECH REACH, INC.
Entity Type:Organization
Organization Name:SPEECH REACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:O
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:803-447-4505
Mailing Address - Street 1:3700 CAIRNBROOK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-4819
Mailing Address - Country:US
Mailing Address - Phone:803-447-4505
Mailing Address - Fax:803-772-8606
Practice Address - Street 1:3700 CAIRNBROOK DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4819
Practice Address - Country:US
Practice Address - Phone:803-447-4505
Practice Address - Fax:803-772-8606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2634235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty