Provider Demographics
NPI:1558694331
Name:SPEECHWORKS
Entity Type:Organization
Organization Name:SPEECHWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLI
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC/SLP
Authorized Official - Phone:813-494-2637
Mailing Address - Street 1:3225 S MACDILL AVE
Mailing Address - Street 2:SUIT #129-333
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8171
Mailing Address - Country:US
Mailing Address - Phone:813-494-2637
Mailing Address - Fax:813-839-3639
Practice Address - Street 1:3225 S MACDILL AVE
Practice Address - Street 2:SUIT #129-333
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8171
Practice Address - Country:US
Practice Address - Phone:813-494-2637
Practice Address - Fax:813-839-3639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7910235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty