Provider Demographics
NPI:1912369398
Name:WELL SPOKEN SPEECH PATHOLOGY LLC
Entity Type:Organization
Organization Name:WELL SPOKEN SPEECH PATHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER SPEECH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARY PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALNACK
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP/L
Authorized Official - Phone:215-801-6924
Mailing Address - Street 1:503 MILHOUSE WAY
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-2122
Mailing Address - Country:US
Mailing Address - Phone:215-801-6924
Mailing Address - Fax:610-524-4739
Practice Address - Street 1:503 MILHOUSE WAY
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-2122
Practice Address - Country:US
Practice Address - Phone:215-801-6924
Practice Address - Fax:610-524-4739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty