Provider Demographics
NPI:1982261269
Name:ELOQUENCE THERAPY SERVICES, P.C.
Entity type:Organization
Organization Name:ELOQUENCE THERAPY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:765-621-3472
Mailing Address - Street 1:3320 MAIN ST
Mailing Address - Street 2:SUITE J
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46013
Mailing Address - Country:US
Mailing Address - Phone:765-621-3472
Mailing Address - Fax:844-364-1385
Practice Address - Street 1:3320 MAIN ST
Practice Address - Street 2:SUITE J
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46013
Practice Address - Country:US
Practice Address - Phone:765-621-3472
Practice Address - Fax:844-364-1385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty