Provider Demographics
NPI:1982480224
Name:LOVE WITHOUT WORDS SPEECH THERAPY, CORP.
Entity type:Organization
Organization Name:LOVE WITHOUT WORDS SPEECH THERAPY, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GINGRAS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:925-446-0969
Mailing Address - Street 1:1255 SHAKESPEARE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3367
Mailing Address - Country:US
Mailing Address - Phone:925-446-0969
Mailing Address - Fax:
Practice Address - Street 1:1255 SHAKESPEARE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3367
Practice Address - Country:US
Practice Address - Phone:925-446-0969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty