Provider Demographics
NPI:1205310711
Name:CLEAR SPEECH LLC
Entity type:Organization
Organization Name:CLEAR SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMYELA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:908-247-1368
Mailing Address - Street 1:1415 N WOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-3927
Mailing Address - Country:US
Mailing Address - Phone:908-247-1368
Mailing Address - Fax:908-486-6134
Practice Address - Street 1:1415 N WOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-3927
Practice Address - Country:US
Practice Address - Phone:908-247-1368
Practice Address - Fax:908-486-6134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty