=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730985045
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAY IT WITH ME SPEECH THERAPY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2025
-----------------------------------------------------
Last Update Date | 02/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 940 WINDHAM CT STE 8
-----------------------------------------------------
City | BOARDMAN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-5060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-344-9885
-----------------------------------------------------
Fax | 330-244-9887
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11465 BEAVER CREEK RD
-----------------------------------------------------
City | SALEM
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44460-9233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-256-0533
-----------------------------------------------------
Fax | 330-595-4727
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | RAUN SKYRM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-256-0533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------