=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437675360
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FIND YOUR VOICE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2017
-----------------------------------------------------
Last Update Date | 02/09/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25 HEARD DR
-----------------------------------------------------
City | IPSWICH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01938-1628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-376-0822
-----------------------------------------------------
Fax | 978-376-0822
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 HEARD DR
-----------------------------------------------------
City | IPSWICH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01938-1628
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-376-0822
-----------------------------------------------------
Fax | 978-312-6630
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH LANGUAGE PATHOLOGIST
-----------------------------------------------------
Name | JESSICA ROGERS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 978-376-0822
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0700X
-----------------------------------------------------
Taxonomy Name | Hearing and Speech Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 8822
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------