Provider Demographics
NPI:1164610119
Name:EFFECTIVE COMMUNICATION SOLUTIONS
Entity Type:Organization
Organization Name:EFFECTIVE COMMUNICATION SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ SLP
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:LA SALLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC/SLP
Authorized Official - Phone:215-694-0689
Mailing Address - Street 1:151 BUSTLETON PIKE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-6456
Mailing Address - Country:US
Mailing Address - Phone:215-357-3048
Mailing Address - Fax:215-464-7794
Practice Address - Street 1:151 BUSTLETON PIKE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6456
Practice Address - Country:US
Practice Address - Phone:215-357-3048
Practice Address - Fax:215-464-7794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251P0200X, 225XP0200X
PASL004452L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101989264-0001Medicaid