Provider Demographics
NPI:1811625668
Name:AT WILL SPEECH THERAPY AND EDUCATIONAL SERVICES INC.
Entity type:Organization
Organization Name:AT WILL SPEECH THERAPY AND EDUCATIONAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:951-387-0555
Mailing Address - Street 1:27091 TUBE ROSE ST
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4596
Mailing Address - Country:US
Mailing Address - Phone:951-500-5505
Mailing Address - Fax:
Practice Address - Street 1:27070 SUN CITY BLVD STE 106
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:CA
Practice Address - Zip Code:92586-2509
Practice Address - Country:US
Practice Address - Phone:951-387-0555
Practice Address - Fax:951-602-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty