Provider Demographics
NPI:1144789215
Name:CENTER FOR COGNITION, LANGUAGE & SPEECH, LLC
Entity Type:Organization
Organization Name:CENTER FOR COGNITION, LANGUAGE & SPEECH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO.
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:540-486-5375
Mailing Address - Street 1:1999 SOUTH MAIN ST.
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060
Mailing Address - Country:US
Mailing Address - Phone:540-486-5375
Mailing Address - Fax:540-486-5403
Practice Address - Street 1:1999 SOUTH MAIN ST.
Practice Address - Street 2:SUITE 303
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060
Practice Address - Country:US
Practice Address - Phone:540-486-5375
Practice Address - Fax:540-486-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty