Provider Demographics
NPI:1932590254
Name:PROFESSIONAL SPEECH SERVICES INC
Entity type:Organization
Organization Name:PROFESSIONAL SPEECH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SLP-CCC
Authorized Official - Phone:740-965-9284
Mailing Address - Street 1:12835 WOODTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021-9476
Mailing Address - Country:US
Mailing Address - Phone:740-965-9284
Mailing Address - Fax:740-965-9084
Practice Address - Street 1:12835 WOODTOWN RD
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021-9476
Practice Address - Country:US
Practice Address - Phone:740-965-9284
Practice Address - Fax:740-965-9084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP3417235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty