Provider Demographics
NPI:1083434138
Name:SPEECHQS
Entity type:Organization
Organization Name:SPEECHQS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SLP
Authorized Official - Prefix:
Authorized Official - First Name:KALI
Authorized Official - Middle Name:RAYNE
Authorized Official - Last Name:CARNOVALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-594-2490
Mailing Address - Street 1:120 E ARCH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-1702
Mailing Address - Country:US
Mailing Address - Phone:814-594-2490
Mailing Address - Fax:
Practice Address - Street 1:120 E ARCH ST
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-1702
Practice Address - Country:US
Practice Address - Phone:814-594-2490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech