# SPEAKEASY THERAPY FACTORY SPEECH LANGUAGE AND SWALLOWING SERVICES, LLC

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

## Provider details

- **NPI number:** 1376080812
- **Authorized official:** MRS. LATEKA KEGLER- TAYLOR M.A., CCC- SLP (SPEECH- LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (704) 780-0211

## Contact information

- **Practice address:** 344 VIEW DR, BLYTHEWOOD, SC 29016-7252
- **Practice address phone:** (704) 780-0211
- **Practice address fax:** (803) 470-4709
- **Mailing address:** 344 VIEW DR, BLYTHEWOOD, SC 29016-7252
- **Mailing address phone:** (704) 780-0211
- **Mailing address fax:** (803) 470-4709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SC 5079 | SC | Yes |
| 252Y00000X | Early Intervention Provider Agency | SC 5079 | SC | — |

## Other

- **Enumeration date:** 01/23/2017
- **Last updated:** 01/23/2017