Provider Demographics
NPI:1336752385
Name:SPARKLING SPEECH LLC
Entity Type:Organization
Organization Name:SPARKLING SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIMRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:614-581-2459
Mailing Address - Street 1:9300 E PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60203-1409
Mailing Address - Country:US
Mailing Address - Phone:614-581-2459
Mailing Address - Fax:
Practice Address - Street 1:9300 E PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60203-1409
Practice Address - Country:US
Practice Address - Phone:614-581-2459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech