Provider Demographics
NPI:1285825539
Name:SARATOGA SPEECH PATHOLOGY, P.C.
Entity Type:Organization
Organization Name:SARATOGA SPEECH PATHOLOGY, P.C.
Other - Org Name:SARATOGA SPEECH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ SLP
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:518-450-0287
Mailing Address - Street 1:627 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5603
Mailing Address - Country:US
Mailing Address - Phone:518-450-0297
Mailing Address - Fax:518-584-2568
Practice Address - Street 1:627 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5603
Practice Address - Country:US
Practice Address - Phone:518-450-0297
Practice Address - Fax:518-584-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013956235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty