Provider Demographics
NPI:1427451145
Name:LEGACY SPEECH SERVICES L.L.C.
Entity type:Organization
Organization Name:LEGACY SPEECH SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:201-213-2461
Mailing Address - Street 1:2026 WIRT RD
Mailing Address - Street 2:SUITE 103B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-1626
Mailing Address - Country:US
Mailing Address - Phone:201-213-2461
Mailing Address - Fax:832-644-0127
Practice Address - Street 1:2026 WIRT RD
Practice Address - Street 2:SUITE 103B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-1626
Practice Address - Country:US
Practice Address - Phone:201-213-2461
Practice Address - Fax:832-644-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty