Provider Demographics
NPI:1912036054
Name:TRAFFORD SPEECH, LANGUAGE & LITERACY SERVICES, INC
Entity Type:Organization
Organization Name:TRAFFORD SPEECH, LANGUAGE & LITERACY SERVICES, INC
Other - Org Name:TRAFFORD SLLS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:508-269-0252
Mailing Address - Street 1:15050 ELDERBERRY LANE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907
Mailing Address - Country:US
Mailing Address - Phone:508-269-0252
Mailing Address - Fax:239-437-8099
Practice Address - Street 1:15050 ELDERBERRY LANE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907
Practice Address - Country:US
Practice Address - Phone:508-269-0252
Practice Address - Fax:239-437-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty