Provider Demographics
NPI:1427332048
Name:MOUTHWORKS LLC
Entity type:Organization
Organization Name:MOUTHWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:978-335-6814
Mailing Address - Street 1:70 DANE ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4660
Mailing Address - Country:US
Mailing Address - Phone:978-335-6814
Mailing Address - Fax:
Practice Address - Street 1:4 SCAMMON ST
Practice Address - Street 2:SUITE 19 PMB 2700
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-5121
Practice Address - Country:US
Practice Address - Phone:800-293-1606
Practice Address - Fax:207-286-3218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2334235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty