Provider Demographics
NPI:1801341185
Name:ASPIRE INNOVATIVE LANGUAGE INTERVENTIONS, PLLC
Entity type:Organization
Organization Name:ASPIRE INNOVATIVE LANGUAGE INTERVENTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF THERAPY/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CCC-SLP
Authorized Official - Phone:817-416-5374
Mailing Address - Street 1:901 W WALL ST
Mailing Address - Street 2:STE 101
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7414
Mailing Address - Country:US
Mailing Address - Phone:817-416-5374
Mailing Address - Fax:
Practice Address - Street 1:901 W WALL ST
Practice Address - Street 2:STE 101
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-7414
Practice Address - Country:US
Practice Address - Phone:817-416-5374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107831235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty