Provider Demographics
NPI:1720602139
Name:ELEVATE SPEECH SERVICES
Entity Type:Organization
Organization Name:ELEVATE SPEECH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARADEI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP, CBIS
Authorized Official - Phone:908-892-3492
Mailing Address - Street 1:1764 HERITAGE CENTER DR STE 201
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4092
Mailing Address - Country:US
Mailing Address - Phone:908-892-3492
Mailing Address - Fax:919-488-4300
Practice Address - Street 1:1764 HERITAGE CENTER DR STE 201
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4092
Practice Address - Country:US
Practice Address - Phone:908-892-3492
Practice Address - Fax:919-488-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty