Provider Demographics
NPI:1518637859
Name:MISS IRENE'S SPEECH THERAPY P.C.
Entity Type:Organization
Organization Name:MISS IRENE'S SPEECH THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPALLINO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP, MS-CCC
Authorized Official - Phone:914-393-4665
Mailing Address - Street 1:1207 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-9175
Mailing Address - Country:US
Mailing Address - Phone:914-393-4665
Mailing Address - Fax:
Practice Address - Street 1:1207 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-9175
Practice Address - Country:US
Practice Address - Phone:914-393-4665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech