Provider Demographics
NPI:1780355248
Name:FOR THE LOVE OF SPEECH INC.
Entity type:Organization
Organization Name:FOR THE LOVE OF SPEECH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:
Authorized Official - First Name:MAJDAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-393-8258
Mailing Address - Street 1:125 DELANCEY ST APT 1807
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5297
Mailing Address - Country:US
Mailing Address - Phone:973-393-8258
Mailing Address - Fax:
Practice Address - Street 1:125 DELANCEY ST APT 1807
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5297
Practice Address - Country:US
Practice Address - Phone:973-393-8258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04533804Medicaid