Provider Demographics
NPI:1588492680
Name:SPEECH BUBBLES, PLLC
Entity type:Organization
Organization Name:SPEECH BUBBLES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLISON
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:843-291-5995
Mailing Address - Street 1:3006 ROBIN TERRY CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-2475
Mailing Address - Country:US
Mailing Address - Phone:843-291-5995
Mailing Address - Fax:
Practice Address - Street 1:3006 ROBIN TERRY CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-2475
Practice Address - Country:US
Practice Address - Phone:843-291-5995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty