Provider Demographics
NPI:1417393455
Name:SPEECH INNOVATION, LLC
Entity type:Organization
Organization Name:SPEECH INNOVATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SLP
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEL
Authorized Official - Middle Name:LAZARO
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:786-383-4956
Mailing Address - Street 1:14701 SAPPHIRE LN
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-8109
Mailing Address - Country:US
Mailing Address - Phone:786-383-4956
Mailing Address - Fax:786-565-4549
Practice Address - Street 1:14701 SAPPHIRE LN
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-8109
Practice Address - Country:US
Practice Address - Phone:786-383-4956
Practice Address - Fax:786-565-4549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty