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NPI Code Detail

MEDICARE: THE SPEECH HOUSE LLC

MEDICARE: THE SPEECH HOUSE LLC
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
1261QP2000XPhysical Therapy Clinic/Center
2225100000XPhysical Therapist
3225X00000XOccupational Therapist
4235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1346867579
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE SPEECH HOUSE LLC
Provider Business Mailing Address
First Line : 7707 LONE SHEPHERD DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89166-5119
Country : US
Telephone Number : 631-796-8224
Fax Number : 702-442-8929
Provider Business Practice Location Address
First Line : 9121 W RUSSELL RD STE 115
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1238
Country : US
Telephone Number : 631-796-8224
Fax Number : 702-442-8929
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST OWNER
Name : MARIA ANNA BRANDON
Credential : CCC-SLP
Telephone Number : 631-796-8224
Provider Enumeration Date : 07/03/2020
Last Update Date : 08/08/2024

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Directions to “THE SPEECH HOUSE LLC ” 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.