Provider Demographics
NPI:1144366329
Name:SAYAH THERAPEUTIC COMMUNICATIONS, INC
Entity type:Organization
Organization Name:SAYAH THERAPEUTIC COMMUNICATIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EARNHEART
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC-SLP
Authorized Official - Phone:352-795-4181
Mailing Address - Street 1:7647 W GULF TO LAKE HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-7962
Mailing Address - Country:US
Mailing Address - Phone:354-181-5279
Mailing Address - Fax:352-795-7981
Practice Address - Street 1:7647 W GULF TO LAKE HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-7962
Practice Address - Country:US
Practice Address - Phone:354-181-5279
Practice Address - Fax:352-795-7981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7047235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL890241100Medicaid