Provider Demographics
NPI:1851086110
Name:CONNECT SPEECH AND LANGUAGE THERAPY INC.
Entity Type:Organization
Organization Name:CONNECT SPEECH AND LANGUAGE THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-885-8590
Mailing Address - Street 1:354 4TH AVE APT 15
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-3267
Mailing Address - Country:US
Mailing Address - Phone:267-885-8590
Mailing Address - Fax:
Practice Address - Street 1:354 4TH AVE APT 15
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-3267
Practice Address - Country:US
Practice Address - Phone:267-885-8590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health