Provider Demographics
NPI:1134712441
Name:BUMBLE BEE SPEECH LLC
Entity type:Organization
Organization Name:BUMBLE BEE SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCC-SLP
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRATIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-546-7880
Mailing Address - Street 1:PO BOX 1120
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-8139
Mailing Address - Country:US
Mailing Address - Phone:845-546-7880
Mailing Address - Fax:
Practice Address - Street 1:292 MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2572
Practice Address - Country:US
Practice Address - Phone:845-584-6605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2025-06-03
Deactivation Date:2025-04-03
Deactivation Code:
Reactivation Date:2025-06-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty