MEDICARE: SPEAK TO ME KIDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	41YS00540000	NJ

General Provider Information

NPI Number	:	1013159235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEAK TO ME KIDS

Provider Business Mailing Address
First Line	:	851 ROUTE 73 N STE C
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-1275
Country	:	US
Telephone Number	:	569-833-3908
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 ROUTE 73 N STE C
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-1275
Country	:	US
Telephone Number	:	856-983-3390
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOYCE KAVENEY
Credential	:	M.S. - CCC-SLP
Telephone Number	:	856-983-3390

Provider Enumeration Date	:	04/02/2009
Last Update Date	:	11/11/2024

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Directions to “SPEAK TO ME KIDS ” Practice Location

Language	Start Address	Practice Location

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