Provider Demographics
NPI:1497227342
Name:LET S PLAY SPEECH THERAPY PLLC
Entity Type:Organization
Organization Name:LET S PLAY SPEECH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:MORGAN
Authorized Official - Last Name:SALAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:571-310-5953
Mailing Address - Street 1:44715 PRENTICE DR
Mailing Address - Street 2:#772
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20146
Mailing Address - Country:US
Mailing Address - Phone:252-495-1004
Mailing Address - Fax:571-342-4065
Practice Address - Street 1:20943 KILLAWOG TER
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7157
Practice Address - Country:US
Practice Address - Phone:252-495-1004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty