Provider Demographics
NPI:1376380121
Name:FARMINGTON SPEECH THERAPY, LLC
Entity type:Organization
Organization Name:FARMINGTON SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SLP
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUMMA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SLP
Authorized Official - Phone:573-330-6822
Mailing Address - Street 1:710 CARTER ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-2633
Mailing Address - Country:US
Mailing Address - Phone:573-330-6822
Mailing Address - Fax:
Practice Address - Street 1:710 CARTER ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-2633
Practice Address - Country:US
Practice Address - Phone:573-330-6822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty