Provider Demographics
NPI:1023638046
Name:RESILIENCE SPEECH THERAPY SERVICES PLLC
Entity type:Organization
Organization Name:RESILIENCE SPEECH THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:ELBOW
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:405-204-8935
Mailing Address - Street 1:2624 MERLOT CT
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-0930
Mailing Address - Country:US
Mailing Address - Phone:405-204-8935
Mailing Address - Fax:
Practice Address - Street 1:2624 MERLOT CT
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-0930
Practice Address - Country:US
Practice Address - Phone:405-204-8935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty