Provider Demographics
NPI:1891451555
Name:GUARDIAN SPEECH SERVICES LLC
Entity Type:Organization
Organization Name:GUARDIAN SPEECH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAMMANASU POKORZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:989-464-7575
Mailing Address - Street 1:2200 WYNDHAM LN
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-7957
Mailing Address - Country:US
Mailing Address - Phone:989-464-7575
Mailing Address - Fax:989-884-0136
Practice Address - Street 1:2200 WYNDHAM LN
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-7957
Practice Address - Country:US
Practice Address - Phone:989-464-7575
Practice Address - Fax:989-884-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech