Provider Demographics
NPI:1134750375
Name:WORDS AND MOTION SPEECH THERAPY GROUP, INC.
Entity type:Organization
Organization Name:WORDS AND MOTION SPEECH THERAPY GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAFFICANTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:323-476-7071
Mailing Address - Street 1:7128 PACIFIC BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-4776
Mailing Address - Country:US
Mailing Address - Phone:323-476-7071
Mailing Address - Fax:323-476-7081
Practice Address - Street 1:7128 PACIFIC BLVD STE I
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4776
Practice Address - Country:US
Practice Address - Phone:323-476-7071
Practice Address - Fax:323-476-7081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty