Provider Demographics
NPI:1750865507
Name:DEVELOPING SPEECH, P.C.
Entity Type:Organization
Organization Name:DEVELOPING SPEECH, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:IVONE
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-647-7348
Mailing Address - Street 1:3201 WATERBURY DR
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3331
Mailing Address - Country:US
Mailing Address - Phone:917-647-7348
Mailing Address - Fax:516-706-8664
Practice Address - Street 1:1941 WANTAGH AVE STE 204
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3950
Practice Address - Country:US
Practice Address - Phone:917-647-7348
Practice Address - Fax:516-706-8664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty