Provider Demographics
NPI:1881971760
Name:SALMON SEZ SPEECH AND LANGUAGE THERAPY LLC
Entity type:Organization
Organization Name:SALMON SEZ SPEECH AND LANGUAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-929-8969
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:KLAWOCK
Mailing Address - State:AK
Mailing Address - Zip Code:99925-0222
Mailing Address - Country:US
Mailing Address - Phone:907-254-2433
Mailing Address - Fax:907-826-2679
Practice Address - Street 1:GENERAL DELIVERY
Practice Address - Street 2:
Practice Address - City:KLAWOCK
Practice Address - State:AK
Practice Address - Zip Code:99925-9999
Practice Address - Country:US
Practice Address - Phone:907-254-2433
Practice Address - Fax:907-826-2679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK376235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty