1033426796 NPI number — THE SPEECH KEY, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033426796 NPI number — THE SPEECH KEY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE SPEECH KEY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033426796
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1157
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATKINSVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30677-0024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-310-9241
Provider Business Mailing Address Fax Number:
706-310-9276

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 HAWTHORNE PARK
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30606-2164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-310-9241
Provider Business Practice Location Address Fax Number:
706-310-9276
Provider Enumeration Date:
09/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
MCCLURE FLOYD
Authorized Official First Name:
DALE
Authorized Official Middle Name:
R
Authorized Official Title or Position:
SPEECH LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
706-310-9241

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: SLP005228 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 519782337A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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