Provider Demographics
NPI:1023832110
Name:THE FOUNDATION FOR VOICE AND SWALLOW WELLNESS
Entity type:Organization
Organization Name:THE FOUNDATION FOR VOICE AND SWALLOW WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRASSIA CHISHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:516-996-7386
Mailing Address - Street 1:550 SW 3RD ST STE 304
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6946
Mailing Address - Country:US
Mailing Address - Phone:954-224-5350
Mailing Address - Fax:
Practice Address - Street 1:550 SW 3RD ST STE 304
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6946
Practice Address - Country:US
Practice Address - Phone:954-224-5350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech