Provider Demographics
NPI:1205316619
Name:SOUND SPEECH THERAPY LLC
Entity type:Organization
Organization Name:SOUND SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SIGNORA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:860-670-6950
Mailing Address - Street 1:12 HALLS RD UNIT 122
Mailing Address - Street 2:
Mailing Address - City:OLD LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06371-7009
Mailing Address - Country:US
Mailing Address - Phone:860-670-6950
Mailing Address - Fax:
Practice Address - Street 1:19 HALLS RD UNIT 219
Practice Address - Street 2:
Practice Address - City:OLD LYME
Practice Address - State:CT
Practice Address - Zip Code:06371-1457
Practice Address - Country:US
Practice Address - Phone:860-670-6950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003008235Z00000X
235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty