Provider Demographics
NPI:1427697283
Name:REDWOOD SPEECH AND FEEDING SPECIALISTS, LLC
Entity type:Organization
Organization Name:REDWOOD SPEECH AND FEEDING SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PILON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-269-6990
Mailing Address - Street 1:304 LA RUE FRANCE STE 108
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3136
Mailing Address - Country:US
Mailing Address - Phone:337-242-7931
Mailing Address - Fax:337-282-8015
Practice Address - Street 1:304 LA RUE FRANCE STE 108
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3136
Practice Address - Country:US
Practice Address - Phone:337-242-7931
Practice Address - Fax:337-282-8015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty