Healthcare Provider Details

I. General information

NPI: 1962207068
Provider Name (Legal Business Name): SPEAK EASY SPEECH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4806 E KIRKLAND RD
PHOENIX AZ
85054-6178
US

IV. Provider business mailing address

4806 E KIRKLAND RD
PHOENIX AZ
85054-6178
US

V. Phone/Fax

Practice location:
  • Phone: 970-946-8740
  • Fax:
Mailing address:
  • Phone: 970-946-8740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HAILEY WARREN
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP
Phone: 970-946-8740