Organization
CROWN SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MENSONIDES CCC-SLP (OWNER)
(219) 323-8042
Entity
Organization
Contact information
Practice address
9120 CONNECTICUT ST STE C, MERRILLVILLE, IN 46410-7015
(219) 247-8869
(219) 247-8868
Mailing address
225 WOOD ST, CROWN POINT, IN 46307-4139
(219) 323-8042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942744842
—
IN
Enumeration date
01/05/2024
Last updated
01/15/2026
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