Provider Demographics
NPI:1205052271
Name:SPEAK INC
Entity type:Organization
Organization Name:SPEAK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:WEST
Authorized Official - Last Name:HAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:817-481-1854
Mailing Address - Street 1:2401 IRA E WOODS AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3999
Mailing Address - Country:US
Mailing Address - Phone:817-481-1854
Mailing Address - Fax:817-481-7347
Practice Address - Street 1:2401 IRA E WOODS AVENUE
Practice Address - Street 2:SUITE 300
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3999
Practice Address - Country:US
Practice Address - Phone:817-481-1854
Practice Address - Fax:817-481-7347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0949986OtherAETNA HMO PPO
87080TOtherBLUE CROSS BLUE SHIELD
4454986OtherAETNA HMO PPO