Provider Demographics
NPI:1447833850
Name:SPEECH & SUCH THERAPY SERVICES LLC
Entity type:Organization
Organization Name:SPEECH & SUCH THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:MED CCC- SLP
Authorized Official - Phone:912-288-7333
Mailing Address - Street 1:5537 AUTUMNBROOK CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-2372
Mailing Address - Country:US
Mailing Address - Phone:912-288-7333
Mailing Address - Fax:
Practice Address - Street 1:5537 AUTUMNBROOK CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-2372
Practice Address - Country:US
Practice Address - Phone:912-288-7333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty