Provider Demographics
NPI:1689399941
Name:DUNELAND SPEECH SOLUTIONS LLC
Entity Type:Organization
Organization Name:DUNELAND SPEECH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:TRINA
Authorized Official - Last Name:BRAVO
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:219-798-2655
Mailing Address - Street 1:383 KINGSMILL DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-2266
Mailing Address - Country:US
Mailing Address - Phone:219-798-2655
Mailing Address - Fax:
Practice Address - Street 1:383 KINGSMILL DR
Practice Address - Street 2:
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-2266
Practice Address - Country:US
Practice Address - Phone:219-798-2655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty