Provider Demographics
NPI:1790914208
Name:SPEECHWORKS INC
Entity Type:Organization
Organization Name:SPEECHWORKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:405-330-2223
Mailing Address - Street 1:2600 LINDA LN
Mailing Address - Street 2:SUITE 5
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-3735
Mailing Address - Country:US
Mailing Address - Phone:405-330-2223
Mailing Address - Fax:888-413-8891
Practice Address - Street 1:2600 LINDA LN
Practice Address - Street 2:SUITE 5
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3735
Practice Address - Country:US
Practice Address - Phone:405-330-2223
Practice Address - Fax:888-413-8891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-06
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK928235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100645570AMedicaid