Provider Demographics
NPI:1659884682
Name:COMTEC CONSULTING
Entity Type:Organization
Organization Name:COMTEC CONSULTING
Other - Org Name:SOFTSPEECH INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:YALA
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP/L
Authorized Official - Phone:708-297-0259
Mailing Address - Street 1:817 S GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1124
Mailing Address - Country:US
Mailing Address - Phone:708-297-0259
Mailing Address - Fax:
Practice Address - Street 1:817 S GROVE AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-1124
Practice Address - Country:US
Practice Address - Phone:708-297-0259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMTEC CONSULTING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineGroup - Multi-Specialty