Provider Demographics
NPI:1801581384
Name:SPEECH THERAPY HEALTH PLLC
Entity type:Organization
Organization Name:SPEECH THERAPY HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TUESDAY
Authorized Official - Middle Name:ELEANOR
Authorized Official - Last Name:GREY
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:518-572-6718
Mailing Address - Street 1:19 MORRISON AVE
Mailing Address - Street 2:
Mailing Address - City:GRANVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12832-1633
Mailing Address - Country:US
Mailing Address - Phone:518-572-6718
Mailing Address - Fax:
Practice Address - Street 1:19 MORRISON AVE
Practice Address - Street 2:
Practice Address - City:GRANVILLE
Practice Address - State:NY
Practice Address - Zip Code:12832-1633
Practice Address - Country:US
Practice Address - Phone:518-572-6718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty