Provider Demographics
NPI:1184042756
Name:PEDIATRIC SPEECH LANGUAGE AND LITERACY SERVICES, LLC
Entity Type:Organization
Organization Name:PEDIATRIC SPEECH LANGUAGE AND LITERACY SERVICES, LLC
Other - Org Name:LAUREEN L. CURRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAUREEN
Authorized Official - Middle Name:LEFFKOWITZ
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:203-628-7305
Mailing Address - Street 1:9 LAKE PL N
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7203
Mailing Address - Country:US
Mailing Address - Phone:203-628-7305
Mailing Address - Fax:866-398-9922
Practice Address - Street 1:9 LAKE PL N
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7203
Practice Address - Country:US
Practice Address - Phone:203-628-7305
Practice Address - Fax:866-398-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00235261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY002035OtherSPEECH PATHOLOGY STATE LICENSES
CT00631OtherSPEECH PATHOLOGY STATE LICENSE