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NPI 1396622775

NPI 1396622775 : THE SPEECH SPOT, LLC : WAKEFIELD, RI

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General NPI Number Information
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    NPI Number           |    1396622775
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE SPEECH SPOT, LLC 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    66 MAIN ST 
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    City                 |    WAKEFIELD
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    State                |    RI
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    Zip                  |    02879-3651
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    Country              |    US
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    Telephone            |    401-360-6362
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    40 SPRINGDALE DR 
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    City                 |    KINGSTON
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    State                |    RI
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    Zip                  |    02881-1504
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, SPEECH-LANGUAGE PATHOLOGIST
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    Name                 |     LINDSAY  ANDRUCHUVE 
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    Credential           |    MS, CCC-SLP
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    Telephone            |    401-360-6362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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