Provider Demographics
NPI:1437279908
Name:SPEECH AMERICA LEARNING ASSOCIATES
Entity Type:Organization
Organization Name:SPEECH AMERICA LEARNING ASSOCIATES
Other - Org Name:SPEECH ON THE GO
Other - Org Type:Other Name
Authorized Official - Title/Position:LEAD SPEECH PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP-CCC
Authorized Official - Phone:480-861-0043
Mailing Address - Street 1:21001 N TATUM BLVD
Mailing Address - Street 2:SUITE 1630-126
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-4206
Mailing Address - Country:US
Mailing Address - Phone:480-375-5054
Mailing Address - Fax:480-368-7946
Practice Address - Street 1:745 N ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-4633
Practice Address - Country:US
Practice Address - Phone:480-820-5186
Practice Address - Fax:480-820-5187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP2198235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty