Provider Demographics
NPI:1578246955
Name:THRIVE EARLY SPEECH AND LANGUAGE SERVICES L.L.C.
Entity Type:Organization
Organization Name:THRIVE EARLY SPEECH AND LANGUAGE SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-248-5783
Mailing Address - Street 1:18180 OTTIEWAY CT
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-8577
Mailing Address - Country:US
Mailing Address - Phone:610-248-5783
Mailing Address - Fax:
Practice Address - Street 1:18180 OTTIEWAY CT
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-8577
Practice Address - Country:US
Practice Address - Phone:610-248-5783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty