Provider Demographics
NPI:1568088458
Name:J & L SPEECH SERVICES INC
Entity Type:Organization
Organization Name:J & L SPEECH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:917-209-1918
Mailing Address - Street 1:28 ORLANDO RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-1319
Mailing Address - Country:US
Mailing Address - Phone:917-209-1918
Mailing Address - Fax:
Practice Address - Street 1:28 ORLANDO RD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-1319
Practice Address - Country:US
Practice Address - Phone:917-209-1918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency