Provider Demographics
NPI:1326368457
Name:PERSON CENTERED THERAPIES, INC.
Entity Type:Organization
Organization Name:PERSON CENTERED THERAPIES, INC.
Other - Org Name:MARY L. PADULA, MA, CCC/SLP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LUCY
Authorized Official - Last Name:PADULA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC/SLP
Authorized Official - Phone:330-686-6000
Mailing Address - Street 1:3653 DARROW RD.
Mailing Address - Street 2:SUITE 3
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224
Mailing Address - Country:US
Mailing Address - Phone:330-686-6000
Mailing Address - Fax:
Practice Address - Street 1:3653 DARROW RD.
Practice Address - Street 2:SUITE 3
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224
Practice Address - Country:US
Practice Address - Phone:330-686-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERSON CENTERED THERAPIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-3142235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty