Provider Demographics
NPI:1548069933
Name:KIDS TELESPEECH, PLLC
Entity type:Organization
Organization Name:KIDS TELESPEECH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-935-5792
Mailing Address - Street 1:4650 W BUCKSKIN TRL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-2316
Mailing Address - Country:US
Mailing Address - Phone:602-935-5792
Mailing Address - Fax:888-527-4611
Practice Address - Street 1:4650 W BUCKSKIN TRL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85083-2316
Practice Address - Country:US
Practice Address - Phone:602-935-5792
Practice Address - Fax:888-527-4611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty