Provider Demographics
NPI:1639399181
Name:SPEAK YOUR MIND SPEECH AND LANGUAGE THERAPY LLC
Entity Type:Organization
Organization Name:SPEAK YOUR MIND SPEECH AND LANGUAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HONIG
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:480-225-4540
Mailing Address - Street 1:1885 E CARMEN ST
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-4205
Mailing Address - Country:US
Mailing Address - Phone:480-225-4540
Mailing Address - Fax:480-752-8560
Practice Address - Street 1:1885 E CARMEN ST
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-4205
Practice Address - Country:US
Practice Address - Phone:480-225-4540
Practice Address - Fax:480-752-8560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP2142251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services