Provider Demographics
NPI:1568180701
Name:SPEECH EASY, SPEECH & LANGUAGE THERAPY INC.
Entity type:Organization
Organization Name:SPEECH EASY, SPEECH & LANGUAGE THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARO
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:916-918-5343
Mailing Address - Street 1:130 DIAMOND CREEK PL STE 120
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-5197
Mailing Address - Country:US
Mailing Address - Phone:916-755-4414
Mailing Address - Fax:916-755-4364
Practice Address - Street 1:7681 ROSEHALL DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-2912
Practice Address - Country:US
Practice Address - Phone:916-918-5343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-15
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech