Provider Demographics
NPI:1063940476
Name:YELLOW CITY SPEECH
Entity type:Organization
Organization Name:YELLOW CITY SPEECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:806-662-7773
Mailing Address - Street 1:2102 SE 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79118-7773
Mailing Address - Country:US
Mailing Address - Phone:806-662-7652
Mailing Address - Fax:806-329-2308
Practice Address - Street 1:2102 SE 41ST AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-7773
Practice Address - Country:US
Practice Address - Phone:806-662-7652
Practice Address - Fax:806-329-2308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center