Organization
SPEECH THERAPY GROUP, LLC.
Active
Other names
Speech Therapy Group, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE GILES MA, CCC-SLP, LABA (OWNER/PRESIDENT)
(978) 927-0172
Entity
Organization
Contact information
Practice address
100 CUMMINGS CTR, SUITE 135H, BEVERLY, MA 01915-6115
(978) 927-0172
Mailing address
100 CUMMINGS CTR, SUITE 135H, BEVERLY, MA 01915-6115
(978) 927-0172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610987
TUFTS PROVIDER
MA
05
—
9739220
—
MA
01
—
AA23990
HARVARD PILGRIM PROVIDER
MA
01
—
SP0110
BLUE CROSS PROVIDER
MA
Enumeration date
07/02/2006
Last updated
03/14/2019
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