Speakeasy Clinic

LBN: Speakeasy Clinic
Speakeasy Clinic is an health care organization with primary practice located at 3452 Pascagoula St Ste 2 , Pascagoula MS 39567-3203. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Speakeasy Clinic can be contacted via phone (228) 219-4793, or through Latady, Terral via phone (228) 219-4793.

Contact Information

Primary practice address
3452 Pascagoula St Ste 2 Pascagoula MS 39567-3203
Phone: (228) 219-4793
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Latady, Terral M.S. CCC-SLP
Phone: (228) 219-4793

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1649933250
LBN Legal business name Speakeasy Clinic
DBA Doing business as
Authorized official Latady, Terral M.S. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2021
Last updated Nov 12th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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