Provider Demographics
NPI:1720318777
Name:COLUMBIA SPEECH THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:COLUMBIA SPEECH THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SLANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:573-268-5732
Mailing Address - Street 1:601 BUSINESS LOOP 70 W
Mailing Address - Street 2:SUITE 137-B
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-2585
Mailing Address - Country:US
Mailing Address - Phone:573-268-5732
Mailing Address - Fax:573-443-0775
Practice Address - Street 1:601 BUSINESS LOOP 70 W
Practice Address - Street 2:SUITE 137-B
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2585
Practice Address - Country:US
Practice Address - Phone:573-268-5732
Practice Address - Fax:573-443-0775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001014854235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty