Provider Demographics
NPI:1376796797
Name:SPEECH AND VOICE THERAPY CENTER, LLC
Entity Type:Organization
Organization Name:SPEECH AND VOICE THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:508-698-3709
Mailing Address - Street 1:40 MECHANIC ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2074
Mailing Address - Country:US
Mailing Address - Phone:508-698-3709
Mailing Address - Fax:508-698-3785
Practice Address - Street 1:40 MECHANIC ST
Practice Address - Street 2:SUITE 301
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2074
Practice Address - Country:US
Practice Address - Phone:508-698-3709
Practice Address - Fax:508-698-3785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty