Provider Demographics
NPI:1467050443
Name:SPEECH THERAPY & ALLIED RESOURCES, PLLC
Entity Type:Organization
Organization Name:SPEECH THERAPY & ALLIED RESOURCES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:KESLER
Authorized Official - Last Name:DESENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-703-9675
Mailing Address - Street 1:811 9TH ST
Mailing Address - Street 2:STE 120, #266
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1105 ENGLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-1125
Practice Address - Country:US
Practice Address - Phone:248-703-9675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty