Healthcare Provider Details

I. General information

NPI: 1790692085
Provider Name (Legal Business Name): SPEECHFORLIFE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7443 ELLA LN
WINDERMERE FL
34786-6682
US

IV. Provider business mailing address

7443 ELLA LN
WINDERMERE FL
34786-6682
US

V. Phone/Fax

Practice location:
  • Phone: 407-308-5934
  • Fax:
Mailing address:
  • Phone: 407-308-5934
  • 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: MRS. RACHEL DESANDO
Title or Position: OWNER & EXECUTIVE DIRECTOR
Credential: M.S. ED, CCC-SLP
Phone: 757-234-1902