Provider Demographics
NPI:1801676184
Name:CSS SPEECH SERVICES LLC
Entity type:Organization
Organization Name:CSS SPEECH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLPA
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-215-2708
Mailing Address - Street 1:12046 W TETHER TRL
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-5871
Mailing Address - Country:US
Mailing Address - Phone:740-215-2708
Mailing Address - Fax:
Practice Address - Street 1:12046 W TETHER TRL
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-5871
Practice Address - Country:US
Practice Address - Phone:740-215-2708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty