Provider Demographics
NPI:1376912378
Name:SPEECH FOR SUPERSTARS LLC
Entity Type:Organization
Organization Name:SPEECH FOR SUPERSTARS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:561-375-9069
Mailing Address - Street 1:8931 BRIARWOOD MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-7817
Mailing Address - Country:US
Mailing Address - Phone:561-375-9069
Mailing Address - Fax:561-375-9068
Practice Address - Street 1:8931 BRIARWOOD MEADOW LN
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473-7817
Practice Address - Country:US
Practice Address - Phone:561-375-9069
Practice Address - Fax:561-375-9068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-20
Last Update Date:2015-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 2592235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty