# THE MAGIC SPEECH BUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295435824
- **Authorized official:** MRS. KRISTIN PARK MS, CCC-SLP (OWNER)
- **Authorized official phone:** (484) 366-1716

## Contact information

- **Practice address:** 4 BROOKVIEW DR, BOYERTOWN, PA 19512-8667
- **Practice address phone:** (484) 366-1716
- **Mailing address:** 4 BROOKVIEW DR, BOYERTOWN, PA 19512-8667
- **Mailing address phone:** (484) 366-1716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2023
- **Last updated:** 03/02/2023