Provider Demographics
NPI:1619102514
Name:LINGO SPEECH THERAPY SERVICES
Entity Type:Organization
Organization Name:LINGO SPEECH THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:SP11990
Authorized Official - Phone:530-673-7333
Mailing Address - Street 1:1110 CIVIC CENTER BLVD
Mailing Address - Street 2:BLDG 202, SUITE C
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-3013
Mailing Address - Country:US
Mailing Address - Phone:530-673-7333
Mailing Address - Fax:530-673-3633
Practice Address - Street 1:1110 CIVIC CENTER BLVD
Practice Address - Street 2:BLDG 202, SUITE C
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-3013
Practice Address - Country:US
Practice Address - Phone:530-673-7333
Practice Address - Fax:530-673-3633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty