Provider Demographics
NPI:1386894012
Name:SPEECH FACTORY LLC
Entity type:Organization
Organization Name:SPEECH FACTORY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BERNETTE
Authorized Official - Middle Name:JOHNELL
Authorized Official - Last Name:DOWNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-230-3939
Mailing Address - Street 1:1020 16TH ST NW STE LL-5
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5713
Mailing Address - Country:US
Mailing Address - Phone:202-230-3939
Mailing Address - Fax:202-332-3333
Practice Address - Street 1:7505 NEW HAMPSHIRE AVE STE 312
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6972
Practice Address - Country:US
Practice Address - Phone:202-230-3939
Practice Address - Fax:202-332-3333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12042096235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty