Provider Demographics
NPI:1316361827
Name:CHILDREN FIRST DEVELOPMENT, IN
Entity Type:Organization
Organization Name:CHILDREN FIRST DEVELOPMENT, IN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MASLP CCC
Authorized Official - Phone:914-575-7524
Mailing Address - Street 1:648 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1732
Mailing Address - Country:US
Mailing Address - Phone:914-575-7524
Mailing Address - Fax:
Practice Address - Street 1:648 WOOD ST
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1732
Practice Address - Country:US
Practice Address - Phone:914-575-7524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty