Provider Demographics
NPI:1699387621
Name:THE VOICE SPECIALIST LLC
Entity type:Organization
Organization Name:THE VOICE SPECIALIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:GRIFFIN
Authorized Official - Last Name:PORCARO
Authorized Official - Suffix:
Authorized Official - Credentials:MS; CCC-SLP
Authorized Official - Phone:725-666-4596
Mailing Address - Street 1:3701 PAUL DEWEERT CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129
Mailing Address - Country:US
Mailing Address - Phone:725-666-4596
Mailing Address - Fax:
Practice Address - Street 1:3701 PAUL DEWEERT CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129
Practice Address - Country:US
Practice Address - Phone:725-666-4596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2022-04-04
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
NV1720584485Medicaid