Healthcare Provider Details

I. General information

NPI: 1659275378
Provider Name (Legal Business Name): ONE SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

467 GLENBROOK RD APT 205
STAMFORD CT
06906-1857
US

IV. Provider business mailing address

1127 HIGH RIDGE RD STE 290
STAMFORD CT
06905-1203
US

V. Phone/Fax

Practice location:
  • Phone: 203-490-0355
  • Fax:
Mailing address:
  • Phone: 203-490-0355
  • 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: BEATRICE ZDOROVYAK
Title or Position: DIRECTOR/OWNER
Credential: M.S., CCC-SLP
Phone: 203-490-0355