Provider Demographics
NPI:1518249010
Name:SPEECHKIDS, LLC
Entity Type:Organization
Organization Name:SPEECHKIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:GABRIELE
Authorized Official - Middle Name:SOPHIE
Authorized Official - Last Name:NICOLET
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:202-306-0505
Mailing Address - Street 1:616 ASPEN ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2648
Mailing Address - Country:US
Mailing Address - Phone:202-306-0505
Mailing Address - Fax:202-204-0562
Practice Address - Street 1:616 ASPEN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2648
Practice Address - Country:US
Practice Address - Phone:202-306-0505
Practice Address - Fax:202-204-0562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP00001261QH0700X
MD04491261QH0700X
VA2202005790261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech