Provider Demographics
NPI:1811560808
Name:UNILIFE SPEECH THERAPY
Entity Type:Organization
Organization Name:UNILIFE SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:OLGA
Authorized Official - Last Name:VENTURA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:214-226-9236
Mailing Address - Street 1:2437 DEACON DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4068
Mailing Address - Country:US
Mailing Address - Phone:214-226-9236
Mailing Address - Fax:
Practice Address - Street 1:2437 DEACON DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-4068
Practice Address - Country:US
Practice Address - Phone:214-226-9236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty