Provider Demographics
NPI:1396610218
Name:EMPOWER SPEECH THERAPY LLC
Entity type:Organization
Organization Name:EMPOWER SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:209-640-0880
Mailing Address - Street 1:9901 TRAILWOOD DR APT 1105
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-5924
Mailing Address - Country:US
Mailing Address - Phone:209-640-0880
Mailing Address - Fax:725-910-0911
Practice Address - Street 1:9901 TRAILWOOD DR APT 1105
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-5924
Practice Address - Country:US
Practice Address - Phone:209-640-0880
Practice Address - Fax:725-910-0911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No251E00000XAgenciesHome Health
No261QA3000XAmbulatory Health Care FacilitiesClinic/CenterAugmentative Communication