Organization Name: | PRESTIGE SPEECH, LLC |
NPI Number: | 1518311067 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COURTNEY LANGELLO (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 166 Bay Spring Ave Barrington |
State: | RI US |
Postal Code: | 028061393 |
Phone Number: | 4013727014 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2016 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12103867 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |