Provider Demographics
NPI:1275955502
Name:UNLIMITED CONNECTIONS EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:UNLIMITED CONNECTIONS EDUCATIONAL SERVICES, LLC
Other - Org Name:UNLIMITED CONNECTIONS SPEECH THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/SPEECH PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KA'NESSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, MA, CCC-SLP
Authorized Official - Phone:336-587-6902
Mailing Address - Street 1:9806 DALE DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4651
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9806 DALE DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4651
Practice Address - Country:US
Practice Address - Phone:336-587-6902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05330235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty