Provider Demographics
NPI:1700371051
Name:MORANO SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:MORANO SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:LUISA
Authorized Official - Last Name:MORANO
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:203-928-7607
Mailing Address - Street 1:6260 E PORTIA ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-1585
Mailing Address - Country:US
Mailing Address - Phone:203-928-7607
Mailing Address - Fax:
Practice Address - Street 1:7730 E GREENWAY RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1787
Practice Address - Country:US
Practice Address - Phone:203-928-7607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty