Healthcare Provider Details

I. General information

NPI: 1740422682
Provider Name (Legal Business Name): SPEAK LIKE ME, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2009
Last Update Date: 08/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4009 FITZHUGH AVE SUITE 200
RICHMOND VA
23230-3953
US

IV. Provider business mailing address

4009 FITZHUGH AVE SUITE 200
RICHMOND VA
23230-3953
US

V. Phone/Fax

Practice location:
  • Phone: 804-447-5240
  • Fax: 804-447-5241
Mailing address:
  • Phone: 804-447-5240
  • Fax: 804-447-5241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: STEVEN F SHIELDS
Title or Position: BILLING MANAGER
Credential:
Phone: 804-282-9133