Provider Demographics
NPI:1538975115
Name:SWEET SOUNDS SPEECH AND LANGUAGE SERVICES PLLC
Entity type:Organization
Organization Name:SWEET SOUNDS SPEECH AND LANGUAGE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:440-897-2096
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:ROARING RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28669-0065
Mailing Address - Country:US
Mailing Address - Phone:440-897-2096
Mailing Address - Fax:336-450-1929
Practice Address - Street 1:803 MOUNTAIN SCENERY RD
Practice Address - Street 2:
Practice Address - City:ROARING RIVER
Practice Address - State:NC
Practice Address - Zip Code:28669-8096
Practice Address - Country:US
Practice Address - Phone:440-897-2096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty