Provider Demographics
NPI:1265296065
Name:ASCENT SPEECH AND LANGUAGE THERAPY LLC
Entity type:Organization
Organization Name:ASCENT SPEECH AND LANGUAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-849-3986
Mailing Address - Street 1:1904 340TH ST
Mailing Address - Street 2:
Mailing Address - City:WAUBUN
Mailing Address - State:MN
Mailing Address - Zip Code:56589-9110
Mailing Address - Country:US
Mailing Address - Phone:218-849-3986
Mailing Address - Fax:
Practice Address - Street 1:1904 340TH ST
Practice Address - Street 2:
Practice Address - City:WAUBUN
Practice Address - State:MN
Practice Address - Zip Code:56589-9110
Practice Address - Country:US
Practice Address - Phone:218-849-3986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty