Healthcare Provider Details
I. General information
NPI: 1720909815
Provider Name (Legal Business Name): WORLD SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
39 BRITTANY CT
ELKTON MD
21921-2731
US
IV. Provider business mailing address
39 BRITTANY CT
ELKTON MD
21921-2731
US
V. Phone/Fax
- Phone: 347-449-4304
- Fax:
- Phone: 347-449-4304
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SERENA
TONI ANN
KOOH
Title or Position: OWNER
Credential: SLPD, CCC-SLP
Phone: 347-449-4304