Organization
LATITUDE SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BRENNER-MILLER MS CCC-SLP (OWNER)
(201) 406-3356
Entity
Organization
Contact information
Practice address
304 ESSEX ST UNIT 3, SALEM, MA 01970-3420
(201) 406-3356
Mailing address
304 ESSEX ST UNIT 3, SALEM, MA 01970-3420
(201) 406-3356
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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