Provider Demographics
NPI:1578086765
Name:THE SPEECH AND LANGUAGE THERAPY HOUSE
Entity Type:Organization
Organization Name:THE SPEECH AND LANGUAGE THERAPY HOUSE
Other - Org Name:THE S.A.L.T. HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MA CCC-SLP
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-271-9372
Mailing Address - Street 1:PO BOX 293
Mailing Address - Street 2:
Mailing Address - City:NANCY
Mailing Address - State:KY
Mailing Address - Zip Code:42544-0293
Mailing Address - Country:US
Mailing Address - Phone:606-271-9372
Mailing Address - Fax:
Practice Address - Street 1:8536 KY-80
Practice Address - Street 2:
Practice Address - City:NANCY
Practice Address - State:KY
Practice Address - Zip Code:42544
Practice Address - Country:US
Practice Address - Phone:606-271-9372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY139816235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty