Provider Demographics
NPI:1871276204
Name:SPLENDID SPEECH LLC
Entity type:Organization
Organization Name:SPLENDID SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER SLP
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONITCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-743-7082
Mailing Address - Street 1:991 W MOONLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:ROBINSON
Mailing Address - State:TX
Mailing Address - Zip Code:76706-7135
Mailing Address - Country:US
Mailing Address - Phone:972-743-7082
Mailing Address - Fax:
Practice Address - Street 1:991 W MOONLIGHT DR
Practice Address - Street 2:
Practice Address - City:ROBINSON
Practice Address - State:TX
Practice Address - Zip Code:76706-7135
Practice Address - Country:US
Practice Address - Phone:972-743-7082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty