Provider Demographics
NPI:1649951963
Name:BRIGHT FUTURES SPEECH THERAPY, PLLC
Entity type:Organization
Organization Name:BRIGHT FUTURES SPEECH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER SLP
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRECH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-559-3643
Mailing Address - Street 1:1213 HALLADAY DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-4527
Mailing Address - Country:US
Mailing Address - Phone:630-454-7976
Mailing Address - Fax:
Practice Address - Street 1:1213 HALLADAY DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-4527
Practice Address - Country:US
Practice Address - Phone:630-454-7976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty