Provider Demographics
NPI:1366227753
Name:JUST SPEECHIE LLC
Entity type:Organization
Organization Name:JUST SPEECHIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOODGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-330-4557
Mailing Address - Street 1:132 CRUISE RD
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-1223
Mailing Address - Country:US
Mailing Address - Phone:732-330-4557
Mailing Address - Fax:
Practice Address - Street 1:132 CRUISE RD
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-1223
Practice Address - Country:US
Practice Address - Phone:732-330-4557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
1821705476OtherNPPES