MEDICARE: WORD OF MOUTH SPEECH THERAPY 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	:	1215750351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORD OF MOUTH SPEECH THERAPY CORP

Provider Business Mailing Address
First Line	:	2253 EAST 14TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	917-435-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	2253 EAST 14TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	917-435-4325
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SOPHIA A HAZAN
Credential	:
Telephone Number	:	917-435-4325

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	11/06/2024

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Directions to “WORD OF MOUTH SPEECH THERAPY CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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