Provider Demographics
NPI:1205697539
Name:SPEECH WITHOUT BORDERS
Entity type:Organization
Organization Name:SPEECH WITHOUT BORDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:321-276-4385
Mailing Address - Street 1:7236 HOLIDAY HILL CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-9138
Mailing Address - Country:US
Mailing Address - Phone:321-276-4385
Mailing Address - Fax:904-490-9032
Practice Address - Street 1:7236 HOLIDAY HILL CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-9138
Practice Address - Country:US
Practice Address - Phone:321-276-4385
Practice Address - Fax:904-490-9032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty