Provider Demographics
NPI:1295544922
Name:BREAKTHROUGH SPEECH THERAPY
Entity type:Organization
Organization Name:BREAKTHROUGH SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:MED CCC-SLP
Authorized Official - Phone:630-441-6102
Mailing Address - Street 1:4719 WESTERVELT RD
Mailing Address - Street 2:
Mailing Address - City:MEGGETT
Mailing Address - State:SC
Mailing Address - Zip Code:29449-6177
Mailing Address - Country:US
Mailing Address - Phone:630-441-6102
Mailing Address - Fax:
Practice Address - Street 1:4719 WESTERVELT RD
Practice Address - Street 2:
Practice Address - City:MEGGETT
Practice Address - State:SC
Practice Address - Zip Code:29449-6177
Practice Address - Country:US
Practice Address - Phone:630-441-6102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty