Provider Demographics
NPI:1396457008
Name:SPEAK EASY NEW ENGLAND LLC
Entity type:Organization
Organization Name:SPEAK EASY NEW ENGLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:207-613-6904
Mailing Address - Street 1:23 WENTWORTH RD
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03901-2831
Mailing Address - Country:US
Mailing Address - Phone:207-613-6904
Mailing Address - Fax:855-202-4634
Practice Address - Street 1:23 WENTWORTH RD
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03901-2831
Practice Address - Country:US
Practice Address - Phone:207-613-6904
Practice Address - Fax:855-202-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech