Provider Demographics
NPI:1033088380
Name:THE SPEECH VALE LLC
Entity type:Organization
Organization Name:THE SPEECH VALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:SIBYL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBAZHACHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-666-6261
Mailing Address - Street 1:449 ANDRE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07647-1301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:449 ANDRE AVE
Practice Address - Street 2:
Practice Address - City:NORTHVALE
Practice Address - State:NJ
Practice Address - Zip Code:07647-1301
Practice Address - Country:US
Practice Address - Phone:551-406-7137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty