Provider Demographics
NPI:1609345479
Name:FM SPEECH THERAPY LLC
Entity Type:Organization
Organization Name:FM SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FAIGE
Authorized Official - Middle Name:B
Authorized Official - Last Name:MARGARETEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS SLP-CCC
Authorized Official - Phone:216-538-9824
Mailing Address - Street 1:2529 DETROIT AVE STE 136
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-2701
Mailing Address - Country:US
Mailing Address - Phone:216-282-1582
Mailing Address - Fax:216-927-1801
Practice Address - Street 1:2529 DETROIT AVE STE 136
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2701
Practice Address - Country:US
Practice Address - Phone:216-282-1582
Practice Address - Fax:216-927-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-21
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty