Provider Demographics
NPI:1871829903
Name:FREEDOM OF SPEECH, LLC
Entity Type:Organization
Organization Name:FREEDOM OF SPEECH, LLC
Other - Org Name:FREEDOM OF SPEECH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRITTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:808-936-1135
Mailing Address - Street 1:PO BOX 868
Mailing Address - Street 2:
Mailing Address - City:HOLUALOA
Mailing Address - State:HI
Mailing Address - Zip Code:96725-0868
Mailing Address - Country:US
Mailing Address - Phone:808-936-1135
Mailing Address - Fax:808-325-5847
Practice Address - Street 1:73-1041 AHIKAWA ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-9408
Practice Address - Country:US
Practice Address - Phone:808-936-1135
Practice Address - Fax:808-325-5847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-395261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech