Provider Demographics
NPI:1528592706
Name:SPEAK EASY OF THE PALM BEACHES INC
Entity Type:Organization
Organization Name:SPEAK EASY OF THE PALM BEACHES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:MCKENNA
Authorized Official - Last Name:CALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:813-990-7170
Mailing Address - Street 1:2608 ACKLINS RD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7750
Mailing Address - Country:US
Mailing Address - Phone:813-990-7170
Mailing Address - Fax:561-225-1718
Practice Address - Street 1:2608 ACKLINS RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7750
Practice Address - Country:US
Practice Address - Phone:813-990-7170
Practice Address - Fax:561-225-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 9463235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty