Provider Demographics
NPI:1649741265
Name:VERBALIZE SPEECH AND LANGUAGE CENTER
Entity Type:Organization
Organization Name:VERBALIZE SPEECH AND LANGUAGE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHENIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEYHUE
Authorized Official - Suffix:
Authorized Official - Credentials:MACCCA/SLP
Authorized Official - Phone:731-281-4407
Mailing Address - Street 1:145 KENNEDY DR STE B
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38237-3341
Mailing Address - Country:US
Mailing Address - Phone:731-281-4407
Mailing Address - Fax:731-588-5739
Practice Address - Street 1:145 KENNEDY DR STE B
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:TN
Practice Address - Zip Code:38237-3341
Practice Address - Country:US
Practice Address - Phone:731-281-4407
Practice Address - Fax:731-588-5739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty