Provider Demographics
NPI:1972890267
Name:UPPER CAPE SPEECH THERAPY
Entity type:Organization
Organization Name:UPPER CAPE SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MACLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC- SLP
Authorized Official - Phone:781-413-4262
Mailing Address - Street 1:681 FALMOUTH RD
Mailing Address - Street 2:UNIT D22
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649
Mailing Address - Country:US
Mailing Address - Phone:508-419-1250
Mailing Address - Fax:800-624-7617
Practice Address - Street 1:766 FALMOUTH RD
Practice Address - Street 2:UNIT B 10
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3347
Practice Address - Country:US
Practice Address - Phone:781-413-4262
Practice Address - Fax:508-444-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6270235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty