Provider Demographics
NPI:1275708927
Name:SPEECH AND LANGUAGE THROUGH PLAY, INC
Entity Type:Organization
Organization Name:SPEECH AND LANGUAGE THROUGH PLAY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CADY
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:317-538-4797
Mailing Address - Street 1:13896 FERNLEAF WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9214
Mailing Address - Country:US
Mailing Address - Phone:317-538-4797
Mailing Address - Fax:317-706-0971
Practice Address - Street 1:13896 FERNLEAF WAY
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9214
Practice Address - Country:US
Practice Address - Phone:317-538-4797
Practice Address - Fax:317-706-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN2203601A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty