Provider Demographics
NPI:1598821282
Name:SPEECH CARE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:SPEECH CARE SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CATHARINE
Authorized Official - Middle Name:WHITEHOUSE
Authorized Official - Last Name:JUDD
Authorized Official - Suffix:
Authorized Official - Credentials:M S, CCC-SLP
Authorized Official - Phone:770-638-7200
Mailing Address - Street 1:912 KILLIAN HILL RD SW
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-3138
Mailing Address - Country:US
Mailing Address - Phone:770-638-7200
Mailing Address - Fax:770-638-7265
Practice Address - Street 1:912 KILLIAN HILL RD SW
Practice Address - Street 2:SUITE 103
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3138
Practice Address - Country:US
Practice Address - Phone:770-638-7200
Practice Address - Fax:770-638-7265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty