Provider Demographics
NPI:1760164594
Name:SHIPYARD SPEECH LLC
Entity Type:Organization
Organization Name:SHIPYARD SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDACI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-510-1814
Mailing Address - Street 1:622 BEACH POND RD
Mailing Address - Street 2:
Mailing Address - City:VOLUNTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06384-2001
Mailing Address - Country:US
Mailing Address - Phone:508-510-1814
Mailing Address - Fax:
Practice Address - Street 1:622 BEACH POND RD
Practice Address - Street 2:
Practice Address - City:VOLUNTOWN
Practice Address - State:CT
Practice Address - Zip Code:06384-2001
Practice Address - Country:US
Practice Address - Phone:508-510-1814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty