Provider Demographics
NPI:1558962704
Name:FORTE SPEECH AND VOICE LLC
Entity Type:Organization
Organization Name:FORTE SPEECH AND VOICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:GENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP, TSSLD
Authorized Official - Phone:484-796-1988
Mailing Address - Street 1:12 WESTBOURNE LN
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3305
Mailing Address - Country:US
Mailing Address - Phone:484-796-1988
Mailing Address - Fax:
Practice Address - Street 1:12 WESTBOURNE LN
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3305
Practice Address - Country:US
Practice Address - Phone:484-796-1988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty