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General NPI Number Information
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NPI Number | 1902604713
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Entity Type | Organization
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Legal Business Name | INDY SPEECH SERVICES
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 37 SOUTH DR
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City | HASTINGS ON HUDSON
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State | NY
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Zip | 10706-1813
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Country | US
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Telephone | 914-960-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 37 SOUTH DR
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City | HASTINGS ON HUDSON
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State | NY
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Zip | 10706-1813
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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 | DIRECTOR, SLP
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Name | LARA GOLDSTEIN
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Credential | MS CCC-SLP
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Telephone | 203-451-4832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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