Provider Demographics
NPI:1023817236
Name:ROOTED SPEECH AND LANGUAGE THERAPY SERVICES PLLC
Entity type:Organization
Organization Name:ROOTED SPEECH AND LANGUAGE THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOF
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:989-640-4882
Mailing Address - Street 1:6158 W JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-9513
Mailing Address - Country:US
Mailing Address - Phone:989-640-4882
Mailing Address - Fax:
Practice Address - Street 1:6158 W JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-9513
Practice Address - Country:US
Practice Address - Phone:989-640-4882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty