Provider Demographics
NPI:1710459326
Name:THUMB SPEECH THERAPY, PLLC
Entity Type:Organization
Organization Name:THUMB SPEECH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUTUMN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASS
Authorized Official - Suffix:
Authorized Official - Credentials:SP
Authorized Official - Phone:989-550-3311
Mailing Address - Street 1:3271 DECKERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DECKERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48427-9458
Mailing Address - Country:US
Mailing Address - Phone:989-550-3311
Mailing Address - Fax:
Practice Address - Street 1:3271 DECKERVILLE RD
Practice Address - Street 2:
Practice Address - City:DECKERVILLE
Practice Address - State:MI
Practice Address - Zip Code:48427-9458
Practice Address - Country:US
Practice Address - Phone:989-550-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty