Provider Demographics
NPI:1265310411
Name:NEUROWISE SPEECH THERAPY
Entity type:Organization
Organization Name:NEUROWISE SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:UNDERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC
Authorized Official - Phone:910-273-6693
Mailing Address - Street 1:2650 SENEGAL WAY SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-3147
Mailing Address - Country:US
Mailing Address - Phone:910-273-6693
Mailing Address - Fax:
Practice Address - Street 1:2650 SENEGAL WAY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-3147
Practice Address - Country:US
Practice Address - Phone:910-273-6693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech