Provider Demographics
NPI:1134645278
Name:ADVANCED SPEECH THERAPY LLC
Entity type:Organization
Organization Name:ADVANCED SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD CCC-SLP
Authorized Official - Phone:812-719-6392
Mailing Address - Street 1:117 ANNECY CT
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47586-2004
Mailing Address - Country:US
Mailing Address - Phone:812-719-6392
Mailing Address - Fax:
Practice Address - Street 1:117 ANNECY CT
Practice Address - Street 2:
Practice Address - City:TELL CITY
Practice Address - State:IN
Practice Address - Zip Code:47586-2004
Practice Address - Country:US
Practice Address - Phone:812-719-6392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY141549252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency