Provider Demographics
NPI:1649039058
Name:SPEECH LANGUAGE LEARNNG SYSTEM, INC.
Entity type:Organization
Organization Name:SPEECH LANGUAGE LEARNNG SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODEN-SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:636-537-1576
Mailing Address - Street 1:16100 CHESTERFIELD PKWY W STE 270
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-4838
Mailing Address - Country:US
Mailing Address - Phone:636-537-1576
Mailing Address - Fax:
Practice Address - Street 1:16100 CHESTERFIELD PKWY W STE 270
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4838
Practice Address - Country:US
Practice Address - Phone:636-537-1576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty