Provider Demographics
NPI:1598492811
Name:SPEECH AND ME
Entity Type:Organization
Organization Name:SPEECH AND ME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:YACOUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-424-9310
Mailing Address - Street 1:1254 HARLEYFORD RD
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-7529
Mailing Address - Country:US
Mailing Address - Phone:818-424-9310
Mailing Address - Fax:
Practice Address - Street 1:1254 HARLEYFORD RD
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-7529
Practice Address - Country:US
Practice Address - Phone:818-424-9310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty