Provider Demographics
NPI:1689080905
Name:SPEAKABLE JOY THERAPY SERVICES
Entity Type:Organization
Organization Name:SPEAKABLE JOY THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:TOLEDO
Authorized Official - Last Name:DONELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:901-690-2294
Mailing Address - Street 1:6193 GUFFIN CV
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38135-6151
Mailing Address - Country:US
Mailing Address - Phone:901-690-2294
Mailing Address - Fax:901-388-4414
Practice Address - Street 1:6193 GUFFIN CV
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38135-6151
Practice Address - Country:US
Practice Address - Phone:901-690-2294
Practice Address - Fax:901-388-4414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2191235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty