MEDICARE: SPEECH CONNECTION 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1881912210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH CONNECTION LLC

Provider Business Mailing Address
First Line	:	7091 TARRAGON CT
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-9163
Country	:	US
Telephone Number	:	513-444-0770
Fax Number	:

Provider Business Practice Location Address
First Line	:	7091 TARRAGON CT
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-9163
Country	:	US
Telephone Number	:	513-444-0770
Fax Number	:

Authorized Official
Title or Position	:	OWNER, SPEECH-LANGUAGE PATHOLOGIST
Name	:	TANYA WESCOTT
Credential	:	M.A., CCC-SLP
Telephone Number	:	513-444-0770

Provider Enumeration Date	:	05/10/2010
Last Update Date	:	11/19/2015

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Directions to “SPEECH CONNECTION LLC ” Practice Location

Language	Start Address	Practice Location

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