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Organization

SPEAK-EASY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE SCHWARTZ MA, CCC-SLP (MEMBER / SPEECH PATHOLOGIST)
(573) 680-4913
Entity
Organization

Contact information

Practice address
210 EL MERCADO PLZ, JEFFERSON CITY, MO 65109-6822
(573) 680-4913
(888) 977-2979
Mailing address
1908 WHITNEY WOODS DR, JEFFERSON CITY, MO 65101-2386
(573) 680-4913

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA6098
MEDICARE PTAN
Enumeration date
07/16/2014
Last updated
07/09/2025
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