Provider Demographics
NPI:1558839183
Name:WELL SPOKEN SPEECH THERAPY
Entity Type:Organization
Organization Name:WELL SPOKEN SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:HOLLYCE
Authorized Official - Last Name:CULMER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:786-385-8319
Mailing Address - Street 1:6980 ROSWELL RD UNIT K11
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2243
Mailing Address - Country:US
Mailing Address - Phone:786-385-8319
Mailing Address - Fax:
Practice Address - Street 1:6980 ROSWELL RD UNIT K11
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-2243
Practice Address - Country:US
Practice Address - Phone:786-385-8319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty