OrganizationSpeakeasy Speech-Language TherapySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2 Brier Hill Court, Suite 210, Building C, East Brunswick, NJ 08816(732) 585-2728PECOS EnrollmentBased on the most recent information from CMS, provider Speakeasy Speech-Language Therapy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:53 AM.Profile DetailsProvider ID1457978371Provider TypeOrganizationFull NameSpeakeasy Speech-Language TherapySubpartNoEnumeration Date6/26/2020Last Updated6/26/2020Contact InformationPractice LocationPractice Address2 Brier Hill Court, Suite 210, Building C, East Brunswick, NJ 08816Phone(732) 585-2728FaxUnlisted FaxMailing LocationMailing Address2 Brier Hill Court, Suite 210, Building C, East Brunswick, NJ 08816Phone(732) 585-2728FaxUnlisted FaxAuthorized OfficialNameDomingues, Tania (Speech-Language Pathologist/Owner)Phone(732) 585-2728Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted IssuerCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer