Provider Demographics
NPI:1568070753
Name:SPEECH FOR SUCCESS, LLC
Entity Type:Organization
Organization Name:SPEECH FOR SUCCESS, LLC
Other - Org Name:SPEECH FOR SUCCESS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KNIGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:269-832-2993
Mailing Address - Street 1:8227 44TH AVE W STE E
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-2848
Mailing Address - Country:US
Mailing Address - Phone:269-832-2993
Mailing Address - Fax:425-382-2146
Practice Address - Street 1:8227 44TH AVE W STE E
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-2848
Practice Address - Country:US
Practice Address - Phone:425-405-0837
Practice Address - Fax:425-382-2146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No224ZF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantFeeding, Eating & SwallowingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750868709OtherNPI