Provider Demographics
NPI:1992387666
Name:ABOVE AND BEYOND SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:ABOVE AND BEYOND SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ATEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-954-0288
Mailing Address - Street 1:1402 S ATHERTON ST STE 101
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-6255
Mailing Address - Country:US
Mailing Address - Phone:814-954-0288
Mailing Address - Fax:814-308-8884
Practice Address - Street 1:1402 S ATHERTON ST STE 101
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-6255
Practice Address - Country:US
Practice Address - Phone:814-954-0288
Practice Address - Fax:814-308-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech