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SPEECH SPARK SERVICES LLC NPI 1245787480


NPI Information

NPI: 1245787480
Provider Name: SPEECH SPARK SERVICES, LLC

Doing Business As: SPEECH SPARK

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1924 SINCLAIR DR
DE PERE, WI
ZIP 54115
Phone: (920) 403-0103
Get Directions

SPEECH SPARK SERVICES, LLC is a speech language pathologist in De Pere, WI. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. SPEECH SPARK SERVICES, LLC NPI is 1245787480. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Speech Spark.

The provider's business location address is:

1924 SINCLAIR DR
DE PERE, WI
ZIP 54115-530
Phone: (920) 403-0103
Fax: (888) 631-0117

The provider's authorized official is Beth Dolar .
The authorized official title is Speech Language Pathologist and has the following contact phone number (920) 403-0103.

The enumeration date for this NPI number is 9/6/2016 and was last updated on 12/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist2614-154WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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