Provider Demographics
NPI:1104588235
Name:EMPOWER SPEECH LLC
Entity type:Organization
Organization Name:EMPOWER SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:VLCEK
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:724-355-8062
Mailing Address - Street 1:410 NORTHTOWNE SQ # 215
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-7525
Mailing Address - Country:US
Mailing Address - Phone:724-355-8062
Mailing Address - Fax:
Practice Address - Street 1:5713 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044
Practice Address - Country:US
Practice Address - Phone:724-355-8062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty