MEDICARE: NEED4SPEECH CORP

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

General Provider Information

NPI Number	:	1114346418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEED4SPEECH CORP

Provider Business Mailing Address
First Line	:	4727 167TH ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11358-3713
Country	:	US
Telephone Number	:	347-536-8572
Fax Number	:	718-274-0581

Provider Business Practice Location Address
First Line	:	4727 167TH ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11358-3713
Country	:	US
Telephone Number	:	347-536-8572
Fax Number	:	718-274-0581

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THEODORA CHRISTODOULOU
Credential	:	M.S.,CCC-SLP
Telephone Number	:	347-536-8572

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	09/30/2021

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Directions to “NEED4SPEECH CORP ” Practice Location

Language	Start Address	Practice Location

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