Healthcare Provider Details

I. General information

NPI: 1194688499
Provider Name (Legal Business Name): WORLDWIDE SPEECH THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5304 INVERCHAPEL RD
SPRINGFIELD VA
22151-1901
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD # 56578
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 626-620-8621
  • Fax:
Mailing address:
  • Phone: 626-620-8621
  • Fax:

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: ERIN LONG
Title or Position: PRESIDENT
Credential: MA CCC-SLP
Phone: 626-620-8621