Provider Demographics
NPI:1437358256
Name:WEE SPEAK PC
Entity Type:Organization
Organization Name:WEE SPEAK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PENI
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SATTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP L
Authorized Official - Phone:765-532-7420
Mailing Address - Street 1:4543 CORMORANT DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-8204
Mailing Address - Country:US
Mailing Address - Phone:765-532-7420
Mailing Address - Fax:765-477-9190
Practice Address - Street 1:4543 CORMORANT DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-8204
Practice Address - Country:US
Practice Address - Phone:765-532-7420
Practice Address - Fax:765-477-9190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000498260OtherANTHEM BCBS