Provider Demographics
NPI:1497539704
Name:FREEDOM OF SPEECHIES, PLLC.
Entity Type:Organization
Organization Name:FREEDOM OF SPEECHIES, PLLC.
Other - Org Name:SPEECH-ISH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:726-238-6752
Mailing Address - Street 1:7550 W INTERSTATE 10 STE 800
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5814
Mailing Address - Country:US
Mailing Address - Phone:726-238-6752
Mailing Address - Fax:
Practice Address - Street 1:7550 W INTERSTATE 10 STE 800
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5814
Practice Address - Country:US
Practice Address - Phone:726-238-6752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1891428736Medicaid