Healthcare Provider Details

I. General information

NPI: 1083548473
Provider Name (Legal Business Name): SPEAK UP SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 N 7TH ST UNIT 212
PHOENIX AZ
85014-1010
US

IV. Provider business mailing address

6767 N 7TH ST UNIT 212
PHOENIX AZ
85014-1010
US

V. Phone/Fax

Practice location:
  • Phone: 973-521-0571
  • Fax:
Mailing address:
  • Phone: 973-521-0571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ESTHER TERRIS
Title or Position: SPEECH THERAPIST
Credential: M.S. CCC-SLP
Phone: 973-521-0571