Provider Demographics
NPI:1841963733
Name:EXPANSION SPEECH THERAPY LLC
Entity type:Organization
Organization Name:EXPANSION SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, SLP, CLC
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP, CLC
Authorized Official - Phone:267-532-8438
Mailing Address - Street 1:1035 VIRGINIA DR STE 140
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-3106
Mailing Address - Country:US
Mailing Address - Phone:267-532-8438
Mailing Address - Fax:
Practice Address - Street 1:1035 VIRGINIA DR STE 140
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3106
Practice Address - Country:US
Practice Address - Phone:267-532-8438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty