Provider Demographics
NPI:1588940191
Name:STERLING KEY SPEECH THERAPY, LLC
Entity type:Organization
Organization Name:STERLING KEY SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:I
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC-SLP
Authorized Official - Phone:617-785-0371
Mailing Address - Street 1:57 WASHINGTON ST
Mailing Address - Street 2:UNIT 2D
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-5738
Mailing Address - Country:US
Mailing Address - Phone:617-785-0371
Mailing Address - Fax:
Practice Address - Street 1:57 WASHINGTON ST
Practice Address - Street 2:UNIT 2D
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-5738
Practice Address - Country:US
Practice Address - Phone:617-785-0371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6340235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty