Provider Demographics
NPI:1386429157
Name:SPEECH PLUS THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:SPEECH PLUS THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-312-2827
Mailing Address - Street 1:141 JUDITHS PATH
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29170-2282
Mailing Address - Country:US
Mailing Address - Phone:803-312-2827
Mailing Address - Fax:
Practice Address - Street 1:141 JUDITHS PATH
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-2282
Practice Address - Country:US
Practice Address - Phone:803-312-2827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty