Provider Demographics
NPI:1225888902
Name:CHICKADEE CHATTER SPEECH THERAPY LLC
Entity Type:Organization
Organization Name:CHICKADEE CHATTER SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:CARAMIHALIS
Authorized Official - Last Name:RACKLIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:207-206-5220
Mailing Address - Street 1:215 GARLAND RD
Mailing Address - Street 2:
Mailing Address - City:SHAPLEIGH
Mailing Address - State:ME
Mailing Address - Zip Code:04076-3511
Mailing Address - Country:US
Mailing Address - Phone:207-281-7690
Mailing Address - Fax:207-910-6547
Practice Address - Street 1:215 GARLAND RD
Practice Address - Street 2:
Practice Address - City:SHAPLEIGH
Practice Address - State:ME
Practice Address - Zip Code:04076-3511
Practice Address - Country:US
Practice Address - Phone:207-281-7690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty