Provider Demographics
NPI:1417575952
Name:MS. FEBEE'S SPEECH CENTER, LLC
Entity Type:Organization
Organization Name:MS. FEBEE'S SPEECH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SLP
Authorized Official - Prefix:
Authorized Official - First Name:FEBEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ICARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-712-6228
Mailing Address - Street 1:330 S 600 W
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-2110
Mailing Address - Country:US
Mailing Address - Phone:801-712-6228
Mailing Address - Fax:801-218-4040
Practice Address - Street 1:330 S 600 W
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-2110
Practice Address - Country:US
Practice Address - Phone:801-712-6228
Practice Address - Fax:801-218-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty