Provider Demographics
NPI:1952924060
Name:TELEPHONEME THERAPIES LLC
Entity Type:Organization
Organization Name:TELEPHONEME THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FISHLOVE
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:954-707-0829
Mailing Address - Street 1:535 LAKE SUMMIT CT
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-4010
Mailing Address - Country:US
Mailing Address - Phone:954-707-0829
Mailing Address - Fax:
Practice Address - Street 1:535 LAKE SUMMIT CT
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-4010
Practice Address - Country:US
Practice Address - Phone:954-707-0829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty