Healthcare Provider Details

I. General information

NPI: 1255257267
Provider Name (Legal Business Name): SPEAK OUT LOUD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23991 W BOWKER ST
BUCKEYE AZ
85326-7088
US

IV. Provider business mailing address

23991 W BOWKER ST
BUCKEYE AZ
85326-7088
US

V. Phone/Fax

Practice location:
  • Phone: 480-455-9135
  • Fax:
Mailing address:
  • Phone: 480-455-9135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: INDIRA MARKOWSKI
Title or Position: OWNER
Credential:
Phone: 480-455-9135