Provider Demographics
NPI:1972374387
Name:SPEECH & SWALLOWING SOLUTIONS OF THE CAPITAL REGION LLC
Entity type:Organization
Organization Name:SPEECH & SWALLOWING SOLUTIONS OF THE CAPITAL REGION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOUKY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:518-424-3404
Mailing Address - Street 1:905 HEATHER LN
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-5540
Mailing Address - Country:US
Mailing Address - Phone:518-424-3404
Mailing Address - Fax:
Practice Address - Street 1:18 COMPUTER DR E STE 105
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1290
Practice Address - Country:US
Practice Address - Phone:518-424-3404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty