Provider Demographics
NPI:1679965719
Name:ALTRUISTIC SPEECH AND LANGUAGE SERVICES,LLC
Entity Type:Organization
Organization Name:ALTRUISTIC SPEECH AND LANGUAGE SERVICES,LLC
Other - Org Name:ALTRUISTIC THERAPY SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:810-886-1028
Mailing Address - Street 1:PO BOX 605
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-0605
Mailing Address - Country:US
Mailing Address - Phone:810-886-1028
Mailing Address - Fax:866-886-6628
Practice Address - Street 1:124 S STATE RD
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-1347
Practice Address - Country:US
Practice Address - Phone:810-886-1028
Practice Address - Fax:866-886-6628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-26
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty