Provider Demographics
NPI:1003245663
Name:PEDIATRIC SPEECH-LANGUAGE AND LITERACY SERVICES, LLC
Entity Type:Organization
Organization Name:PEDIATRIC SPEECH-LANGUAGE AND LITERACY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LAUREEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:203-628-7305
Mailing Address - Street 1:9 LAKE PL N
Mailing Address - Street 2:IA
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7203
Mailing Address - Country:US
Mailing Address - Phone:203-628-7305
Mailing Address - Fax:
Practice Address - Street 1:9 LAKE PL N
Practice Address - Street 2:IA
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7203
Practice Address - Country:US
Practice Address - Phone:203-628-7305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002035251B00000X, 251E00000X, 252Y00000X, 283XC2000X, 302F00000X, 302R00000X, 305R00000X, 305S00000X
CT00631251E00000X, 252Y00000X, 253J00000X, 302F00000X, 302R00000X, 305R00000X
CT002035305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No283XC2000XHospitalsRehabilitation HospitalChildren
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service