Provider Demographics
NPI:1013159235
Name:SPEAK TO ME KIDS
Entity Type:Organization
Organization Name:SPEAK TO ME KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAVENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS - CCC-SLP
Authorized Official - Phone:856-983-3390
Mailing Address - Street 1:1002 LINCOLN DR W STE H
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1533
Mailing Address - Country:US
Mailing Address - Phone:856-983-3391
Mailing Address - Fax:
Practice Address - Street 1:1002 LINCOLN DR W STE H
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1533
Practice Address - Country:US
Practice Address - Phone:856-983-3391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00540000235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty