Provider Demographics
NPI:1629833397
Name:SPEAKEZ SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:SPEAKEZ SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ATHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:304-991-3838
Mailing Address - Street 1:117 LONESTAR DR UNIT 1821
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-3998
Mailing Address - Country:US
Mailing Address - Phone:304-991-3838
Mailing Address - Fax:
Practice Address - Street 1:117 LONESTAR DR UNIT 1821
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3998
Practice Address - Country:US
Practice Address - Phone:304-991-3838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty