Organization
ACHIEVE SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA LYN SMYERS MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(610) 248-8061
Entity
Organization
Contact information
Practice address
4119 W DRESDEN DR, BLOOMINGTON, IN 47404-8404
(610) 248-8061
Mailing address
4119 W DRESDEN DR, BLOOMINGTON, IN 47404-8404
(610) 248-8061
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255976700
INDIVIDUAL NPI
—
Enumeration date
06/15/2022
Last updated
06/15/2022
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