Provider Demographics
NPI:1790491264
Name:RESONATE: PROFESSIONAL VOICE AND SPEECH SERVICES, LLC
Entity Type:Organization
Organization Name:RESONATE: PROFESSIONAL VOICE AND SPEECH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RULE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP
Authorized Official - Phone:704-437-2614
Mailing Address - Street 1:2306 SANFORD RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5527
Mailing Address - Country:US
Mailing Address - Phone:704-437-2614
Mailing Address - Fax:
Practice Address - Street 1:2306 SANFORD RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5527
Practice Address - Country:US
Practice Address - Phone:704-437-2614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty