Provider Demographics
NPI:1700917739
Name:SPEECH, LANGUAGE AND HEARING SERVICES, INC.
Entity Type:Organization
Organization Name:SPEECH, LANGUAGE AND HEARING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JASUTA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP
Authorized Official - Phone:512-346-9988
Mailing Address - Street 1:3500 OAKMONT BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6053
Mailing Address - Country:US
Mailing Address - Phone:512-346-9988
Mailing Address - Fax:888-220-2486
Practice Address - Street 1:3500 OAKMONT BLVD STE 102
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6053
Practice Address - Country:US
Practice Address - Phone:512-346-9988
Practice Address - Fax:888-220-2486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty