Provider Demographics
NPI:1164867115
Name:COMMUNICATING MEANINGFUL MESSAGES
Entity Type:Organization
Organization Name:COMMUNICATING MEANINGFUL MESSAGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEATHERAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-252-1567
Mailing Address - Street 1:37041 RAFIE ST
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-6506
Mailing Address - Country:US
Mailing Address - Phone:907-252-1567
Mailing Address - Fax:
Practice Address - Street 1:37041 RAFIE ST
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-6506
Practice Address - Country:US
Practice Address - Phone:907-252-1567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty