Provider Demographics
NPI:1679252969
Name:KINDRED SPEECH THERAPY LLC
Entity Type:Organization
Organization Name:KINDRED SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMPHIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-348-4350
Mailing Address - Street 1:16341 REDWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-9178
Mailing Address - Country:US
Mailing Address - Phone:810-348-4350
Mailing Address - Fax:
Practice Address - Street 1:265 N ALLOY DR STE 2
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-2646
Practice Address - Country:US
Practice Address - Phone:810-373-9507
Practice Address - Fax:855-221-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty