Provider Demographics
NPI:1477175990
Name:SPEECH-LANGUAGE AND LEARNING SERVICES LLC
Entity Type:Organization
Organization Name:SPEECH-LANGUAGE AND LEARNING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:660-216-0777
Mailing Address - Street 1:PO BOX 7528
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-7528
Mailing Address - Country:US
Mailing Address - Phone:660-216-0777
Mailing Address - Fax:660-665-0260
Practice Address - Street 1:304 S FRANKLIN ST STE 300
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-3581
Practice Address - Country:US
Practice Address - Phone:660-216-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty