Provider Demographics
NPI:1659148799
Name:WORD THERAPY
Entity Type:Organization
Organization Name:WORD THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TENECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRANNEL-YEBOAH
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP
Authorized Official - Phone:941-400-3493
Mailing Address - Street 1:5319 PAYLOR LN STE 300
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-2207
Mailing Address - Country:US
Mailing Address - Phone:941-400-3493
Mailing Address - Fax:
Practice Address - Street 1:5319 PAYLOR LN STE 300
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-2207
Practice Address - Country:US
Practice Address - Phone:941-400-3493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech