Provider Demographics
NPI:1376025858
Name:SPEECHWORKS THERAPY
Entity Type:Organization
Organization Name:SPEECHWORKS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEANNA
Authorized Official - Middle Name:DAY
Authorized Official - Last Name:VOLLINTINE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:817-798-7789
Mailing Address - Street 1:585 BAKER CUT OFF RD
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-5564
Mailing Address - Country:US
Mailing Address - Phone:817-798-7789
Mailing Address - Fax:888-965-7458
Practice Address - Street 1:585 BAKER CUT OFF RD
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76087-5564
Practice Address - Country:US
Practice Address - Phone:817-798-7789
Practice Address - Fax:888-965-7458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101497235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX338649201Medicaid