Provider Demographics
NPI:1366228702
Name:SPEAK EASY SPEECH & LANGUAGE LLC
Entity type:Organization
Organization Name:SPEAK EASY SPEECH & LANGUAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PIPER
Authorized Official - Middle Name:SHEA
Authorized Official - Last Name:HAYNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-320-3717
Mailing Address - Street 1:106 ERIN WAY
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-4188
Mailing Address - Country:US
Mailing Address - Phone:478-320-3717
Mailing Address - Fax:
Practice Address - Street 1:200 CHILTON PL STE B
Practice Address - Street 2:
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005-3889
Practice Address - Country:US
Practice Address - Phone:478-320-3717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIPER HAYNAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty