Provider Demographics
NPI:1982272753
Name:TOTALLY SPEECH LLC.
Entity Type:Organization
Organization Name:TOTALLY SPEECH LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST/CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:GIMPERLING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:440-666-6535
Mailing Address - Street 1:1502 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3425
Mailing Address - Country:US
Mailing Address - Phone:440-666-6535
Mailing Address - Fax:
Practice Address - Street 1:1502 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3425
Practice Address - Country:US
Practice Address - Phone:440-666-6535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty