Provider Demographics
NPI:1447974787
Name:BIG PICTURE SPEECH THERAPY LLC
Entity type:Organization
Organization Name:BIG PICTURE SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:267-885-8090
Mailing Address - Street 1:515 SAINT LAWRENCE WAY
Mailing Address - Street 2:
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-1001
Mailing Address - Country:US
Mailing Address - Phone:267-885-8090
Mailing Address - Fax:
Practice Address - Street 1:515 SAINT LAWRENCE WAY
Practice Address - Street 2:
Practice Address - City:FURLONG
Practice Address - State:PA
Practice Address - Zip Code:18925-1001
Practice Address - Country:US
Practice Address - Phone:267-885-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech