Provider Demographics
NPI:1871331637
Name:SPOKEN WORD EARLY INTERVENTION
Entity type:Organization
Organization Name:SPOKEN WORD EARLY INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OUELLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-735-9223
Mailing Address - Street 1:PO BOX 2467
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29465-2467
Mailing Address - Country:US
Mailing Address - Phone:843-735-9223
Mailing Address - Fax:866-475-7515
Practice Address - Street 1:1169 SHARPESTOWNE CT
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7564
Practice Address - Country:US
Practice Address - Phone:843-735-9223
Practice Address - Fax:866-475-7515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty