Provider Demographics
NPI:1316182066
Name:WOMENS LEAGUE
Entity Type:Organization
Organization Name:WOMENS LEAGUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH/LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:REEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLAUT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC/SLP-NYS-L
Authorized Official - Phone:917-327-0314
Mailing Address - Street 1:1282 E 31ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4741
Mailing Address - Country:US
Mailing Address - Phone:917-327-0314
Mailing Address - Fax:
Practice Address - Street 1:1282 E 31ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4741
Practice Address - Country:US
Practice Address - Phone:917-327-0314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009851-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency