Provider Demographics
NPI:1629947023
Name:RIOT SPEECH THERAPY AND ADVOCACY
Entity type:Organization
Organization Name:RIOT SPEECH THERAPY AND ADVOCACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-450-0977
Mailing Address - Street 1:5400 W NORFOLK RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-3424
Mailing Address - Country:US
Mailing Address - Phone:757-450-0977
Mailing Address - Fax:757-450-0977
Practice Address - Street 1:5400 W NORFOLK RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-3424
Practice Address - Country:US
Practice Address - Phone:757-450-0977
Practice Address - Fax:757-450-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech