Provider Demographics
NPI:1285180034
Name:EASY SPEECH LANGUAGE & SPEECH SERVICES, LLC
Entity type:Organization
Organization Name:EASY SPEECH LANGUAGE & SPEECH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KEISIA
Authorized Official - Middle Name:NANETTE
Authorized Official - Last Name:GALMON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:281-972-0442
Mailing Address - Street 1:2727 REVERE ST
Mailing Address - Street 2:3044
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1328
Mailing Address - Country:US
Mailing Address - Phone:404-668-0170
Mailing Address - Fax:800-956-9786
Practice Address - Street 1:2656 S LOOP W STE 440
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2697
Practice Address - Country:US
Practice Address - Phone:281-972-0442
Practice Address - Fax:800-956-9786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty