Provider Demographics
NPI:1508012261
Name:FIREFLY SPEECH SERVICES
Entity Type:Organization
Organization Name:FIREFLY SPEECH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HOOPIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:312-927-5407
Mailing Address - Street 1:933 W VAN BUREN ST
Mailing Address - Street 2:#414
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-3588
Mailing Address - Country:US
Mailing Address - Phone:312-927-5407
Mailing Address - Fax:312-277-0949
Practice Address - Street 1:933 W VAN BUREN ST
Practice Address - Street 2:#414
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-3588
Practice Address - Country:US
Practice Address - Phone:312-927-5407
Practice Address - Fax:312-277-0949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009162252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency