Healthcare Provider Details

I. General information

NPI: 1437358256
Provider Name (Legal Business Name): WEE SPEAK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2007
Last Update Date: 07/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4543 CORMORANT DR
LAFAYETTE IN
47909-8204
US

IV. Provider business mailing address

4543 CORMORANT DR
LAFAYETTE IN
47909-8204
US

V. Phone/Fax

Practice location:
  • Phone: 765-532-7420
  • Fax: 765-477-9190
Mailing address:
  • Phone: 765-532-7420
  • Fax: 765-477-9190

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: PENI JEAN SATTERFIELD
Title or Position: PRESIDENT
Credential: MS CCC SLP L
Phone: 765-532-7420