Provider Demographics
NPI:1336442847
Name:NEW BEGINNINGS SPEECHMOBILE, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS SPEECHMOBILE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:SLPD, CCC-SLP
Authorized Official - Phone:443-802-8869
Mailing Address - Street 1:6431 ROSALIE LN
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1788
Mailing Address - Country:US
Mailing Address - Phone:443-802-8869
Mailing Address - Fax:301-577-6941
Practice Address - Street 1:6431 ROSALIE LN
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1788
Practice Address - Country:US
Practice Address - Phone:443-802-8869
Practice Address - Fax:301-577-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03948261QA3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication