Provider Demographics
NPI: | 1699513879 |
---|---|
Name: | HONEYBEE SPEECH THERAPY INC. |
Entity type: | Organization |
Organization Name: | HONEYBEE SPEECH THERAPY INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SPEECH-LANGUAGE PATHOLOGIST/OWNER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | MELISSA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PEREZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CCC-SLP |
Authorized Official - Phone: | 760-483-3065 |
Mailing Address - Street 1: | 1737 W OLIVE AVE UNIT A |
Mailing Address - Street 2: | |
Mailing Address - City: | EL CENTRO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92243-2269 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 760-460-6781 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1699 W MAIN ST STE N |
Practice Address - Street 2: | |
Practice Address - City: | EL CENTRO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92243-5403 |
Practice Address - Country: | US |
Practice Address - Phone: | 760-483-3065 |
Practice Address - Fax: | 760-545-4201 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-07-19 |
Last Update Date: | 2024-07-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty |