Provider Demographics
NPI:1922330075
Name:SOUND SPEECH AND HEARING
Entity Type:Organization
Organization Name:SOUND SPEECH AND HEARING
Other - Org Name:JOY P WILMOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:PIRES
Authorized Official - Last Name:WILMOUTH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP, AVT
Authorized Official - Phone:508-454-1937
Mailing Address - Street 1:PO BOX 6325
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02362-6325
Mailing Address - Country:US
Mailing Address - Phone:508-454-1937
Mailing Address - Fax:508-749-7058
Practice Address - Street 1:2 S SPOONER ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4447
Practice Address - Country:US
Practice Address - Phone:508-454-1937
Practice Address - Fax:508-749-7058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-30
Last Update Date:2010-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6037235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty