Provider Demographics
NPI:1780346270
Name:ALL AMERICAN SPEECH LLC
Entity type:Organization
Organization Name:ALL AMERICAN SPEECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUGENTAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:646-852-1352
Mailing Address - Street 1:101 HENRY RD
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2336
Mailing Address - Country:US
Mailing Address - Phone:646-852-1352
Mailing Address - Fax:
Practice Address - Street 1:101 HENRY RD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2336
Practice Address - Country:US
Practice Address - Phone:468-521-3526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty