Provider Demographics
NPI:1467054304
Name:EPIC STRIDES SPEECH
Entity Type:Organization
Organization Name:EPIC STRIDES SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:REDMON
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:940-230-9498
Mailing Address - Street 1:4105 W SPRING CREEK PKWY STE 602
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5306
Mailing Address - Country:US
Mailing Address - Phone:972-596-0035
Mailing Address - Fax:972-596-8080
Practice Address - Street 1:4105 W SPRING CREEK PKWY STE 602
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5306
Practice Address - Country:US
Practice Address - Phone:972-596-0035
Practice Address - Fax:972-596-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty