Provider Demographics
NPI:1376279125
Name:CONNECTION FIRST SPEECH THERAPY LLC
Entity Type:Organization
Organization Name:CONNECTION FIRST SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:EGGEMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP/L
Authorized Official - Phone:618-615-3156
Mailing Address - Street 1:6 GREENBRIAR LN
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:62233-1411
Mailing Address - Country:US
Mailing Address - Phone:618-615-3156
Mailing Address - Fax:
Practice Address - Street 1:6 GREENBRIAR LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:IL
Practice Address - Zip Code:62233-1411
Practice Address - Country:US
Practice Address - Phone:618-615-3156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech