Provider Demographics
NPI:1699303099
Name:SPEECH WITH VAI
Entity type:Organization
Organization Name:SPEECH WITH VAI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VAIDEHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:CCC, SLP
Authorized Official - Phone:562-896-1278
Mailing Address - Street 1:26 MAIN ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2573
Mailing Address - Country:US
Mailing Address - Phone:562-896-1278
Mailing Address - Fax:833-227-0462
Practice Address - Street 1:26 MAIN ST UNIT 1
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2573
Practice Address - Country:US
Practice Address - Phone:562-896-1278
Practice Address - Fax:833-227-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA77197Medicaid