Provider Demographics
NPI:1023242260
Name:LEARNING TO SUCCEED SPEECH CLINICS, INC.
Entity type:Organization
Organization Name:LEARNING TO SUCCEED SPEECH CLINICS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC/SLP
Authorized Official - Phone:408-249-0770
Mailing Address - Street 1:PO BOX 26127
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95159-6127
Mailing Address - Country:US
Mailing Address - Phone:408-249-0770
Mailing Address - Fax:408-834-7767
Practice Address - Street 1:1101 S WINCHESTER BLVD
Practice Address - Street 2:SUITE F168
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3901
Practice Address - Country:US
Practice Address - Phone:408-249-0770
Practice Address - Fax:408-834-7767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15101235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA15101OtherCCC/SLP CA LICENSE
CA15101OtherCA SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY & HEARING AID DISPENSERS BOARD
CA12046687OtherASHA CCC-SLP