Provider Demographics
NPI:1407227226
Name:SPEECH THERAPY EAST INC
Entity Type:Organization
Organization Name:SPEECH THERAPY EAST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:INGALLS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:252-341-7156
Mailing Address - Street 1:115 REGENCY BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4645
Mailing Address - Country:US
Mailing Address - Phone:252-341-7156
Mailing Address - Fax:252-353-1444
Practice Address - Street 1:115 REGENCY BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-4645
Practice Address - Country:US
Practice Address - Phone:252-341-7156
Practice Address - Fax:252-353-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty