Provider Demographics
NPI:1558054387
Name:NEURO SLP SERVICES
Entity Type:Organization
Organization Name:NEURO SLP SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND SLP
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:402-515-0538
Mailing Address - Street 1:1372 NE WHISPER RIDGE DR APT 3
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6416
Mailing Address - Country:US
Mailing Address - Phone:402-515-0538
Mailing Address - Fax:
Practice Address - Street 1:1372 NE WHISPER RIDGE DR APT 3
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6416
Practice Address - Country:US
Practice Address - Phone:402-515-0538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty