Provider Demographics
NPI:1811519861
Name:IDEAL SPEECH SOLUTIONS LLC
Entity type:Organization
Organization Name:IDEAL SPEECH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP, MS
Authorized Official - Phone:570-520-0767
Mailing Address - Street 1:47 CROSSINGS LN
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-6416
Mailing Address - Country:US
Mailing Address - Phone:570-520-0767
Mailing Address - Fax:833-543-0041
Practice Address - Street 1:47 CROSSINGS LN
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-6416
Practice Address - Country:US
Practice Address - Phone:570-520-0767
Practice Address - Fax:833-543-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty