Provider Demographics
NPI:1093846008
Name:THERAPY AND LEARNING SERVICES INC
Entity Type:Organization
Organization Name:THERAPY AND LEARNING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERDIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:574-654-8540
Mailing Address - Street 1:32772 DEER WATCH CT
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:IN
Mailing Address - Zip Code:46552-9690
Mailing Address - Country:US
Mailing Address - Phone:574-654-8540
Mailing Address - Fax:574-654-9183
Practice Address - Street 1:32772 DEER WATCH CT
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:IN
Practice Address - Zip Code:46552-9690
Practice Address - Country:US
Practice Address - Phone:574-654-8540
Practice Address - Fax:574-654-9183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003342A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200735900AMedicaid
IN200609530Medicaid
IN200609550Medicaid
IN200609570Medicaid