Provider Demographics
NPI:1285999078
Name:AUTUMN OAK SPEECH VOICE AND HEARING
Entity type:Organization
Organization Name:AUTUMN OAK SPEECH VOICE AND HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SALTARRELLI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCC-SLP/A
Authorized Official - Phone:281-816-3067
Mailing Address - Street 1:699 S FRIENDSWOOD DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4579
Mailing Address - Country:US
Mailing Address - Phone:281-816-3067
Mailing Address - Fax:
Practice Address - Street 1:699 S FRIENDSWOOD DR
Practice Address - Street 2:SUITE 104
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4579
Practice Address - Country:US
Practice Address - Phone:281-816-3067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty