Provider Demographics
NPI:1891238739
Name:NATURALLY SPEAKING THERAPY CORPORATION
Entity Type:Organization
Organization Name:NATURALLY SPEAKING THERAPY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER/SPEECH PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:EBERE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:773-414-6292
Mailing Address - Street 1:78034 CALLE BARCELONA
Mailing Address - Street 2:SUITE A
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-2997
Mailing Address - Country:US
Mailing Address - Phone:760-600-5811
Mailing Address - Fax:760-600-5814
Practice Address - Street 1:78034 CALLE BARCELONA
Practice Address - Street 2:SUITE A
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-2997
Practice Address - Country:US
Practice Address - Phone:760-600-5811
Practice Address - Fax:760-600-5814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-26
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1632355S0801X
CA5612355S0801X
CA29992355S0801X
CA38262355S0801X
CA22166235Z00000X
CA23986235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty