Provider Demographics
NPI:1679931018
Name:GRIFFIN SPEECH, CHARTERED
Entity Type:Organization
Organization Name:GRIFFIN SPEECH, CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP/L
Authorized Official - Phone:847-250-6791
Mailing Address - Street 1:800 BLAINE CT
Mailing Address - Street 2:1701
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-6337
Mailing Address - Country:US
Mailing Address - Phone:847-250-6791
Mailing Address - Fax:
Practice Address - Street 1:800 BLAINE CT
Practice Address - Street 2:1701
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-6337
Practice Address - Country:US
Practice Address - Phone:847-250-6791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-30
Last Update Date:2016-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech