Organization
LIFESPAN SPEECH AND SWALLOWING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY DIRUZZO THOMAS (PRACTICE ADMINISTRATOR)
(315) 552-0406
Entity
Organization
Contact information
Practice address
4820 W TAFT RD STE 202, LIVERPOOL, NY 13088
(315) 552-0406
(315) 634-6230
Mailing address
4820 W TAFT RD STE 202, LIVERPOOL, NY 13088-2806
(315) 552-0406
(315) 634-6230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06039550
—
NY
Enumeration date
01/18/2021
Last updated
01/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us