Provider Demographics
NPI:1164025375
Name:BASAL THERAPIES, LLC
Entity Type:Organization
Organization Name:BASAL THERAPIES, LLC
Other - Org Name:BASAL THERAPIES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER & CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:240-838-4346
Mailing Address - Street 1:5104 PEGASUS CT STE B
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-8323
Mailing Address - Country:US
Mailing Address - Phone:443-776-0271
Mailing Address - Fax:
Practice Address - Street 1:5104 PEGASUS CT STE B
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-8323
Practice Address - Country:US
Practice Address - Phone:443-776-0271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty