Provider Demographics
NPI:1568175057
Name:SPEAK WITH STEPHANIE LLC
Entity Type:Organization
Organization Name:SPEAK WITH STEPHANIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JERET
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:516-578-2395
Mailing Address - Street 1:3941 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60203-1520
Mailing Address - Country:US
Mailing Address - Phone:516-578-2395
Mailing Address - Fax:
Practice Address - Street 1:3941 CHURCH ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60203-1520
Practice Address - Country:US
Practice Address - Phone:516-578-2395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-30
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech