Provider Demographics
NPI:1649643552
Name:SPEAK2ME, SPEECH-LANGUAGE PATHOLOGIST, P.C.
Entity type:Organization
Organization Name:SPEAK2ME, SPEECH-LANGUAGE PATHOLOGIST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:YAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-314-8087
Mailing Address - Street 1:PO BOX 583
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD LANDING
Mailing Address - State:NY
Mailing Address - Zip Code:11547-0583
Mailing Address - Country:US
Mailing Address - Phone:516-314-8087
Mailing Address - Fax:
Practice Address - Street 1:15 HIGHLAND AVENUE
Practice Address - Street 2:
Practice Address - City:GLENWOOD LANDING
Practice Address - State:NY
Practice Address - Zip Code:11547-0583
Practice Address - Country:US
Practice Address - Phone:516-314-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024040252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty