Healthcare Provider Details

I. General information

NPI: 1932746849
Provider Name (Legal Business Name): VERITAS VOICE AND SPEECH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 BUELL ST APT 1
BURLINGTON VT
05401-5678
US

IV. Provider business mailing address

70 S WINOOSKI AVE # 260
BURLINGTON VT
05401-3898
US

V. Phone/Fax

Practice location:
  • Phone: 609-947-8474
  • Fax:
Mailing address:
  • Phone: 609-947-8474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SIERRA C DOWNS
Title or Position: OWNER
Credential: MA CCC-SLP
Phone: 609-947-8474