Provider Demographics
NPI:1386207728
Name:ABOVE AND BEYOND THERASPEECH INC
Entity type:Organization
Organization Name:ABOVE AND BEYOND THERASPEECH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:LEONEL
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:718-986-2221
Mailing Address - Street 1:3052 88TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1413
Mailing Address - Country:US
Mailing Address - Phone:718-986-2221
Mailing Address - Fax:
Practice Address - Street 1:3052 88TH ST
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-1413
Practice Address - Country:US
Practice Address - Phone:718-986-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty