Provider Demographics
NPI:1528305315
Name:SPEECH THERAPY ENTERPRISES LLC
Entity type:Organization
Organization Name:SPEECH THERAPY ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL-RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:240-988-1131
Mailing Address - Street 1:6915 LAUREL BOWIE RD
Mailing Address - Street 2:SUITE 103-D
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-1703
Mailing Address - Country:US
Mailing Address - Phone:240-988-1131
Mailing Address - Fax:
Practice Address - Street 1:6915 LAUREL BOWIE RD
Practice Address - Street 2:SUITE 103-D
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1703
Practice Address - Country:US
Practice Address - Phone:240-988-1131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty