Provider Demographics
NPI:1891091500
Name:VILLAGE SPEECH LLC
Entity Type:Organization
Organization Name:VILLAGE SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCC OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANCIOSOHOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:508-238-1360
Mailing Address - Street 1:100 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:N. EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356
Mailing Address - Country:US
Mailing Address - Phone:508-238-1360
Mailing Address - Fax:508-238-1372
Practice Address - Street 1:100 MAIN ST
Practice Address - Street 2:
Practice Address - City:N. EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356
Practice Address - Country:US
Practice Address - Phone:508-238-1360
Practice Address - Fax:508-238-1372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA#3441235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA61823OtherTUFTS
SG0035OtherBCBS